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General NPI Number Information
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NPI Number | 1598813214
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Entity Type | Organization
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Legal Business Name | PITTSBURGH CHIROPRACTIC & REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 470 HOME DR
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City | PITTSBURGH
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State | PA
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Zip | 15275-1204
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Country | US
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Telephone | 412-787-7400
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Fax | 412-787-7407
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Provider Business Mailing Address
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Address Line | 470 HOME DR
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City | PITTSBURGH
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State | PA
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Zip | 15275-1204
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Country | US
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Telephone | 412-787-7400
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Fax | 412-787-7407
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Authorized Official
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Title or Position | OWNER
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Name | JOEL M LOPACINSKI
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Credential | D.C.
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Telephone | 412-787-7400
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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 | DC007898L
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License Number State | PA
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