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General NPI Number Information
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NPI Number | 1356767750
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Entity Type | Organization
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Legal Business Name | SANSONE CHIROPRACTIC PC
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 2812 GOLDEN MILE HWY
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City | PITTSBURGH
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State | PA
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Zip | 15239-2400
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Country | US
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Telephone | 724-327-0202
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Fax |
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Provider Business Mailing Address
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Address Line | 2812 GOLDEN MILE HWY
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City | PITTSBURGH
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State | PA
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Zip | 15239-2400
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Country | US
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Telephone | 724-327-0202
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. AMANDA SANSONE
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Credential | DC
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Telephone | 724-327-0202
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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 | DC010664
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License Number State | PA
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