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General NPI Number Information
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NPI Number | 1558455485
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Entity Type | Organization
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Legal Business Name | ADIRONDACK FAMILY CHIROPRACTIC PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 148 MARGARET ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-1838
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Country | US
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Telephone | 518-561-6004
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Fax | 518-561-0357
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Provider Business Mailing Address
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Address Line | PO BOX 3046
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City | PLATTSBURGH
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State | NY
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Zip | 12901-0298
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Country | US
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Telephone | 518-561-6004
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Fax | 518-561-0357
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. CAROLYN F CLAUSS
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Credential | D.C.
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Telephone | 518-561-6004
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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 | X005051-1
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License Number State | NY
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