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General NPI Number Information
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NPI Number | 1508720160
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Entity Type | Organization
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Legal Business Name | PERFORMANCE HEALTH CHIROPRACTICE OF ROCHESTER, P.C.
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2316 LYELL AVE STE 2
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City | ROCHESTER
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State | NY
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Zip | 14606-5746
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Country | US
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Telephone | 585-429-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 85 CLEARWATER CIR
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City | ROCHESTER
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State | NY
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Zip | 14612-3090
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Country | US
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Telephone | 585-683-0685
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEX MICHAEL ECKERT
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Credential | DC
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Telephone | 585-683-0685
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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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