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General NPI Number Information
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NPI Number | 1710253844
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Entity Type | Organization
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Legal Business Name | ACTIVE CARE CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 6800 PITTSFORD PALMYRA RD SUITE 420
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City | FAIRPORT
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State | NY
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Zip | 14450-3584
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Country | US
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Telephone | 585-598-3458
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Fax | 585-598-3459
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Provider Business Mailing Address
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Address Line | 6800 PITTSFORD PALMYRA RD STE 220
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City | FAIRPORT
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State | NY
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Zip | 14450-3514
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Country | US
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Telephone | 585-598-3458
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Fax | 585-598-3459
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Authorized Official
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Title or Position | OWNER/SOLE PROPRIETOR
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Name | DR. KENNY TSANG
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Credential | DC
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Telephone | 585-598-3458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | X0010870
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License Number State | NY
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