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General NPI Number Information
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NPI Number | 1881885200
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Entity Type | Organization
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Legal Business Name | GAISER CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 353 KENMORE AVE
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City | BUFFALO
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State | NY
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Zip | 14223-2925
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Country | US
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Telephone | 716-834-0284
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Fax | 716-834-0596
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Provider Business Mailing Address
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Address Line | 353 KENMORE AVE
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City | BUFFALO
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State | NY
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Zip | 14223-2925
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Country | US
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Telephone | 716-834-0284
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Fax | 716-834-0596
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN N GAISER
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Credential | DC
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Telephone | 716-834-0284
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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 | XOO6061
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License Number State | NY
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