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General NPI Number Information
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NPI Number | 1275755647
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Entity Type | Organization
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Legal Business Name | ZDILLA FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 1179 ROSTRAVER RD
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City | BELLE VERNON
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State | PA
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Zip | 15012-4504
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Country | US
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Telephone | 724-929-6777
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Fax | 888-221-7407
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Provider Business Mailing Address
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Address Line | 1179 ROSTRAVER RD
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City | BELLE VERNON
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State | PA
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Zip | 15012-4504
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Country | US
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Telephone | 724-929-6777
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Fax | 888-221-7407
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL JAMES ZDILLA
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Credential | D.C.
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Telephone | 724-929-6777
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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 | DC009090
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License Number State | PA
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