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General NPI Number Information
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NPI Number | 1356495741
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Entity Type | Organization
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Legal Business Name | DESARO CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 95 ALMSHOUSE RD SUITE 304
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City | RICHBORO
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State | PA
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Zip | 18954
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Country | US
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Telephone | 215-364-6636
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Fax | 215-364-5482
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Provider Business Mailing Address
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Address Line | 95 ALMSHOUSE RD SUITE 304
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City | RICHBORO
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State | PA
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Zip | 18954
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Country | US
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Telephone | 215-364-6636
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Fax | 215-364-5482
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Authorized Official
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Title or Position | VICE PRESIDENT OWNER
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Name | MRS. KRISTI K DESARO
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Credential | DC
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Telephone | 215-364-6636
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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 | DC007391L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC007390L
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License Number State | PA
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