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General NPI Number Information
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NPI Number | 1730206947
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Entity Type | Organization
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Legal Business Name | SQUIRREL HILL CHIROPRACTIC CARE, INC.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 2728 MURRAY AVE
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City | PITTSBURGH
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State | PA
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Zip | 15217-2420
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Country | US
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Telephone | 412-521-4455
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Fax | 412-521-4897
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Provider Business Mailing Address
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Address Line | 2728 MURRAY AVE
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City | PITTSBURGH
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State | PA
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Zip | 15217-2420
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Country | US
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Telephone | 412-521-4455
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Fax | 412-521-4897
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Authorized Official
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Title or Position | OFFICE MANAGER CHIROPRACTOR
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Name | DR. KATHLEEN GORMAN MCCONNELL
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Credential | D.C.
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Telephone | 412-521-4455
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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 | PA
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