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General NPI Number Information
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NPI Number | 1467898254
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Entity Type | Organization
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Legal Business Name | MIJORZ CORPORATION
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 835 NORTH ST
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City | PITTSFIELD
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State | MA
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Zip | 01201
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Country | US
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Telephone | 413-442-5022
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Fax | 413-499-1946
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Provider Business Mailing Address
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Address Line | 835 NORTH ST.
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City | PITTSFIELD
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State | MA
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Zip | 01201
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Country | US
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Telephone | 413-442-5022
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Fax | 413-499-1946
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY JANE PIAZZA
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Credential |
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Telephone | 413-698-2215
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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 | 1223
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License Number State | MA
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