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General NPI Number Information
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NPI Number | 1730578949
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Entity Type | Organization
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Legal Business Name | CHERAMAR CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 8 N MAIN ST
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City | SUGARLOAF
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State | PA
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Zip | 18249-3238
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Country | US
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Telephone | 570-788-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 8 N MAIN ST
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City | SUGARLOAF
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State | PA
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Zip | 18249-3238
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Country | US
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Telephone | 570-788-0555
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. SAURA ALEXA ROHRBACH
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Credential | D.C.
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Telephone | 570-788-0555
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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 | DC010955
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License Number State | PA
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