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General NPI Number Information
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NPI Number | 1881865699
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Entity Type | Organization
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Legal Business Name | CHIRO REHAB ASSOCIATES
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 3000 BROWNSVILLE RD
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City | PITTSBURGH
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State | PA
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Zip | 15227-2469
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Country | US
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Telephone | 412-882-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 BROWNSVILLE RD
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City | PITTSBURGH
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State | PA
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Zip | 15227-2469
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Country | US
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Telephone | 412-882-1930
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Fax |
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Authorized Official
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Title or Position | PART-OWNER/CHIROPRACTOR
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Name | DR. JOSEPH B PETTINATO
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Credential | D.C.
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Telephone | 412-882-1930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC006233L
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License Number State | PA
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