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General NPI Number Information
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NPI Number | 1467584151
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Entity Type | Organization
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Legal Business Name | JOHN CHRISTOPHER STORTI
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 180 UNITED PENN PLAZA
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City | KINGSTON
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State | PA
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Zip | 18704
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Country | US
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Telephone | 570-718-1672
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Fax | 570-718-1805
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Provider Business Mailing Address
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Address Line | 180 UNITED PENN PLAZA
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City | KINGSTON
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State | PA
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Zip | 18704
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Country | US
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Telephone | 570-718-1672
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Fax | 570-718-1805
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Authorized Official
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Title or Position | CHIROPRACTOR OWNER
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Name | DR. JOHN CHRISTOPHER STORTI
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Credential | DC
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Telephone | 570-718-1672
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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 | DC007967L
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License Number State | PA
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