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General NPI Number Information
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NPI Number | 1801132832
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Entity Type | Organization
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Legal Business Name | GIANNETTINO CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 2230 PINE AVE
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-2330
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Country | US
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Telephone | 716-282-2225
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Fax | 716-284-0162
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Provider Business Mailing Address
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Address Line | 7133 W MAIN RD
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City | LE ROY
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State | NY
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Zip | 14482-9380
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Country | US
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Telephone | 716-282-2225
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Fax | 716-284-0162
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. JOSEPH EDWARD GIANNETTINO II
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Credential | DC
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Telephone | 585-255-0198
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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 | X011179
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License Number State | NY
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