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General NPI Number Information
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NPI Number | 1326213430
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Entity Type | Organization
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Legal Business Name | FRYE CHIROPRACTIC CENTER P.C.
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 197 CASTLE SHANNON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15228-2268
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Country | US
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Telephone | 412-341-2505
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Fax | 412-341-0402
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Provider Business Mailing Address
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Address Line | 197 CASTLE SHANNON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15228-2268
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Country | US
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Telephone | 412-341-2505
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Fax | 412-341-0402
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRENDA JOANN FRYE
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Credential | DC
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Telephone | 412-341-2505
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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 | DC004095L
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License Number State | PA
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