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General NPI Number Information
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NPI Number | 1659660587
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Entity Type | Individual
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Provider Name | CHRISTINE DARGOUT D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 687 LEE RD STE 150
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City | ROCHESTER
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State | NY
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Zip | 14606-4257
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Country | US
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Telephone | 585-458-1610
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Fax | 585-458-1611
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Provider Business Mailing Address
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Address Line | 3018 N GENESEE ST
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City | GENEVA
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State | NY
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Zip | 14456-1057
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | X012122
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License Number State | NY
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