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General NPI Number Information
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NPI Number | 1457525172
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Entity Type | Organization
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Legal Business Name | ADVANCE CHIROPRACTIC
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 820 MAIN STREET
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City | NIAGARA FALLS
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State | NY
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Zip | 14301
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Country | US
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Telephone | 716-283-7979
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Fax | 716-283-1336
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Provider Business Mailing Address
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Address Line | 820 MAIN STREET
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City | NIAGARA FALLS
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State | NY
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Zip | 14301
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Country | US
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Telephone | 716-283-7979
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Fax | 716-283-1336
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS F MONTELEONE
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Credential | D.C.
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Telephone | 716-283-7979
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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 | X-006652-1
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License Number State | NY
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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 | X006652-4
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X007082-3
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License Number State | NY
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