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General NPI Number Information
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NPI Number | 1720188667
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Entity Type | Organization
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Legal Business Name | JANKE FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 277 TOMPKINS ST
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City | CORTLAND
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State | NY
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Zip | 13045-3453
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Country | US
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Telephone | 607-662-0582
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Fax | 607-662-0648
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Provider Business Mailing Address
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Address Line | 277 TOMPKINS ST
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City | CORTLAND
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State | NY
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Zip | 13045-3453
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Country | US
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Telephone | 607-662-0582
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Fax | 607-662-0648
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Authorized Official
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Title or Position | CHIROPRACTOR/ OWNER
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Name | OTTO JANKE
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Credential | DC
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Telephone | 607-662-0582
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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 |
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License Number State |
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