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General NPI Number Information
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NPI Number | 1548522428
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Entity Type | Organization
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Legal Business Name | YORK CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 630 GODDARD AVE # 300
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City | IGNACIO
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State | CO
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Zip | 81137-5053
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Country | US
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Telephone | 970-563-1006
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | IGNACIO
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State | CO
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Zip | 81137-0300
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Country | US
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Telephone | 970-563-1006
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | REBECCA MARIE YORK
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Credential |
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Telephone | 970-563-1006
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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 | 2301007373
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License Number State | MI
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