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General NPI Number Information
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NPI Number | 1548519440
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Entity Type | Organization
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Legal Business Name | LATRONICA SPORTS AND FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 740 EDISON FURLONG ROAD
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City | FURLONG
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State | PA
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Zip | 18925
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Country | US
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Telephone | 267-454-7158
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Fax | 267-454-7160
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Provider Business Mailing Address
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Address Line | 740 EDISON FURLONG ROAD
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City | FURLONG
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State | PA
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Zip | 18925
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Country | US
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Telephone | 267-454-7158
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Fax | 267-454-7160
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. ALBERT LATRONICA
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Credential | D.C.
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Telephone | 267-454-7158
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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 | DC-003146-L
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License Number State | PA
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