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General NPI Number Information
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NPI Number | 1285955336
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Entity Type | Organization
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Legal Business Name | TRANQUILITY SPECIFIC CHIROPRACTIC
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 6011 BAPTIST RD SUITE 400
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City | PITTSBURGH
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State | PA
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Zip | 15236-3361
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Country | US
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Telephone | 412-833-1314
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Fax |
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Provider Business Mailing Address
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Address Line | 6011 BAPTIST RD SUITE 400
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City | PITTSBURGH
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State | PA
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Zip | 15236-3361
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Country | US
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Telephone | 412-833-1314
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KORAN GURCAK
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Credential | DC
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Telephone | 412-833-1314
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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 | DC8610
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License Number State | PA
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