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General NPI Number Information
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NPI Number | 1538515622
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Entity Type | Organization
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Legal Business Name | STEPHEN A POKOWICZ, DC
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 543 EASTON TPKE STE 102
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City | LAKE ARIEL
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State | PA
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Zip | 18436-4798
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Country | US
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Telephone | 570-689-5757
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Fax | 570-689-5758
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Provider Business Mailing Address
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Address Line | 543 EASTON TPKE STE 102
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City | LAKE ARIEL
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State | PA
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Zip | 18436-4798
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Country | US
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Telephone | 570-689-5757
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Fax | 570-689-5758
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN POKOWICZ
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Credential | DC
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Telephone | 570-689-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC5669L
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License Number State | PA
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