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General NPI Number Information
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NPI Number | 1417598806
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Entity Type | Organization
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Legal Business Name | STAY FIT CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 565 NATIONAL PIKE W
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City | BROWNSVILLE
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State | PA
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Zip | 15417-9221
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Country | US
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Telephone | 724-785-7633
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Fax | 724-785-7632
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Provider Business Mailing Address
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Address Line | 565 NATIONAL PIKE W
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City | BROWNSVILLE
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State | PA
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Zip | 15417-9221
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Country | US
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Telephone | 724-785-7633
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Fax | 724-785-7632
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW ALBERT STAY
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Credential | D.C.
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Telephone | 412-997-3094
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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 |
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License Number State |
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