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General NPI Number Information
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NPI Number | 1548523889
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Entity Type | Organization
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Legal Business Name | ZOCK FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 730 PARKWOOD DR SUITE 500
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-6312
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Country | US
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Telephone | 917-557-2234
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Fax |
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Provider Business Mailing Address
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Address Line | 730 PARKWOOD DR SUITE 500
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-6312
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Country | US
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Telephone | 917-557-2234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KERSTIN ZOCK
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Credential | DC
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Telephone | 917-557-2234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | DC010431
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License Number State | PA
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