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NPI 1902007586

NPI 1902007586 : JOHN SZOSTEK D.C. : NORRISTOWN, PA

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General NPI Number Information
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    NPI Number           |    1902007586
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHN SZOSTEK D.C. 
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Dates
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    Enumeration Date     |    05/30/2007
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    Last Update Date     |    08/27/2015
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Provider Practice Location Address
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    Address Line         |    107 E. MAIN STREET SUITE 309
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    City                 |    NORRISTOWN
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    State                |    PA
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    Zip                  |    19401-3959
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    Country              |    US
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    Telephone            |    610-277-7520
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    Fax                  |    610-277-8450
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Provider Business Mailing Address
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    Address Line         |    107 E. MAIN STREET SUITE 309
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    City                 |    NORRISTOWN
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    State                |    PA
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    Zip                  |    19401-3959
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    Country              |    US
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    Telephone            |    610-277-7520
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    Fax                  |    610-277-8450
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Authorized Official
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    Title or Position    |    CHIROPRACTOR
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    Name                 |    DR. JOHN  SZOSTEK 
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    Credential           |    D.C.
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    Telephone            |    610-277-7520
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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       |    DC007146L
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    License Number State |    PA
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