=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508965393
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TAMSIN J. POPE D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/21/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25 HARRISON ST
-----------------------------------------------------
City | JAMESTOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14701-6653
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-488-2534
-----------------------------------------------------
Fax | 716-488-1513
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 HARRISON ST
-----------------------------------------------------
City | JAMESTOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14701-6653
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-488-2534
-----------------------------------------------------
Fax | 716-488-1513
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | X004548-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------