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NPI 1265784524

NPI 1265784524 : CHIROPRACTIC CARE DR. CHRISTINA TRZASKA PC. : WILLIAMSVILLE, NY

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General NPI Number Information
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    NPI Number           |    1265784524
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHIROPRACTIC CARE DR. CHRISTINA TRZASKA PC. 
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Dates
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    Enumeration Date     |    10/11/2012
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    Last Update Date     |    12/05/2022
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Provider Practice Location Address
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    Address Line         |    100 COLLEGE PKWY STE 165 
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    City                 |    WILLIAMSVILLE
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    State                |    NY
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    Zip                  |    14221-6800
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    Country              |    US
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    Telephone            |    716-901-3487
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    Fax                  |    716-404-3558
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Provider Business Mailing Address
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    Address Line         |    38 TRENTWOOD TRL 
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    City                 |    LANCASTER
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    State                |    NY
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    Zip                  |    14086-1464
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    Country              |    US
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    Telephone            |    716-901-3487
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTINA T TRZASKA 
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    Credential           |    
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    Telephone            |    716-901-3487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    012034
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    License Number State |    NY
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