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General NPI Number Information
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NPI Number | 1316296015
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Entity Type | Organization
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Legal Business Name | JOINT CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 09/10/2012
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 152 W 12TH ST
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City | ERIE
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State | PA
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Zip | 16501-1725
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Country | US
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Telephone | 814-866-3366
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Fax | 814-866-8877
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Provider Business Mailing Address
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Address Line | 152 W 12TH ST
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City | ERIE
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State | PA
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Zip | 16501-1725
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Country | US
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Telephone | 814-866-3366
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Fax | 814-866-8877
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARAH LYNNE JOINT
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Credential | D.C.
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Telephone | 814-602-4699
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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 | DC010348
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License Number State | PA
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