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General NPI Number Information
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NPI Number | 1376161646
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Entity Type | Individual
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Provider Name | ERENA MARTINA LANZA DC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 50 ABELE RD STE 1003
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3442
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Country | US
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Telephone | 412-998-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 50 ABELE RD STE 1003
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3442
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Country | US
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Telephone | 412-998-9966
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC011692
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License Number State | PA
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