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General NPI Number Information
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NPI Number | 1861006322
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Entity Type | Organization
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Legal Business Name | AMATO CHIROPRACTIC AND REHABILITATION CLINIC WAYNESBORO PC
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 2556 JEFFERSON HWY STE 104
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City | WAYNESBORO
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State | VA
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Zip | 22980-6555
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Country | US
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Telephone | 540-213-3904
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MACTANLY PL STE E
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City | STAUNTON
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State | VA
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Zip | 24401-2383
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Country | US
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Telephone | 540-213-3904
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Fax | 540-213-3905
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL P AMATO
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Credential | DC
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Telephone | 540-213-3904
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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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