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General NPI Number Information
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NPI Number | 1851461271
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Entity Type | Organization
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Legal Business Name | LAWRENCE COUNTY CHIROPRACTIC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1700 NEW BUTLER RD SUITE 101
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City | NEW CASTLE
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State | PA
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Zip | 16101-3152
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Country | US
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Telephone | 724-654-2008
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Fax | 724-652-5661
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Provider Business Mailing Address
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Address Line | 1700 NEW BUTLER RD SUITE 101
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City | NEW CASTLE
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State | PA
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Zip | 16101-3152
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Country | US
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Telephone | 724-654-2008
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Fax | 724-652-5661
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ANTHONY J GERAMITA JR.
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Credential | DC
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Telephone | 724-654-2008
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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 | DC-007191-1
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License Number State | PA
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