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General NPI Number Information
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NPI Number | 1851903785
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Entity Type | Organization
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Legal Business Name | ROCKSIDE NECK BACK & MIGRAINE CENTER LLC
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 6500 ROCKSIDE RD STE 160
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2319
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Country | US
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Telephone | 216-447-9704
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 ROCKSIDE RD STE 160
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2319
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Country | US
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Telephone | 216-447-9704
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | JASON JARMUSZ
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Credential | DC
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Telephone | 716-400-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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