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General NPI Number Information
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NPI Number | 1790935674
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Entity Type | Organization
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Legal Business Name | DE NOVO PITTSBURGH CHIROPRACTIC & HEALTH
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 707 GRANT ST SUITE 2708
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City | PITTSBURGH
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State | PA
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Zip | 15219-1908
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Country | US
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Telephone | 412-443-8873
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Fax | 412-246-4811
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Provider Business Mailing Address
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Address Line | 707 GRANT ST. SUITE 2708
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City | PITTSBURGH
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State | PA
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Zip | 15219
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Country | US
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Telephone | 412-443-8873
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Fax | 412-246-4811
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. BRANDON COHEN
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Credential | DC, CSCS
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Telephone | 412-482-2844
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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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