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General NPI Number Information
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NPI Number | 1851639116
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Entity Type | Organization
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Legal Business Name | WILLIAMSVILLE FAMILY CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 154 PLAZA DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2345
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Country | US
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Telephone | 716-276-8931
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Fax | 716-204-0786
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Provider Business Mailing Address
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Address Line | 154 PLAZA DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2345
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Country | US
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Telephone | 716-276-8931
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Fax | 716-204-0786
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. STEVEN MARK PAWELEK
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Credential | DC
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Telephone | 716-276-8931
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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 | X010177
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License Number State | NY
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