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General NPI Number Information
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NPI Number | 1871610824
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Entity Type | Organization
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Legal Business Name | PERRAS CHIROPRACTIC, PC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 104 S WILLIAM ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-2420
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Country | US
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Telephone | 518-762-6326
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Fax | 518-762-2786
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Provider Business Mailing Address
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Address Line | 104 S WILLIAM ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-2420
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Country | US
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Telephone | 518-762-6326
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Fax | 518-762-2786
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL RICHARD PERRAS
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Credential | D.C.
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Telephone | 518-762-6326
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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 | 5395
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License Number State | NY
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