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General NPI Number Information
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NPI Number | 1871523803
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Entity Type | Organization
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Legal Business Name | CENK CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 107 GAMMA DR SUITE 100
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City | PITTSBURGH
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State | PA
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Zip | 15238-2917
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Country | US
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Telephone | 412-967-9767
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Fax | 412-967-9769
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Provider Business Mailing Address
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Address Line | 107 GAMMA DR SUITE 100
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City | PITTSBURGH
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State | PA
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Zip | 15238-2917
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Country | US
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Telephone | 412-967-9767
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Fax | 412-967-9769
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. DONALD RICHARD CENK
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Credential | DC
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Telephone | 412-967-9767
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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 | DC004960L
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License Number State | PA
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