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General NPI Number Information
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NPI Number | 1780830182
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Entity Type | Organization
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Legal Business Name | HENRIETTA CHIROPRACTIC PC
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 2040 EAST HENRIETTA ROAD SUITE B
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City | ROCHESTER
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State | NY
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Zip | 14623-3923
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Country | US
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Telephone | 585-334-8070
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Fax | 585-334-8132
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Provider Business Mailing Address
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Address Line | 2040 EAST HENRIETTA ROAD SUITE B
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City | ROCHESTER
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State | NY
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Zip | 14623-3923
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Country | US
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Telephone | 585-334-8070
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Fax | 585-334-8132
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Authorized Official
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Title or Position | PRESIDENT DOCTOR OF CHIROPRACTIC
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Name | MS. DRUCILLA ANN ESTEY
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Credential | DC
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Telephone | 585-334-8070
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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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