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General NPI Number Information
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NPI Number | 1902595077
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Entity Type | Organization
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Legal Business Name | NATURAL BALANCE CHIROPRACTIC WELLNESS
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 3648 SENECA ST
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City | WEST SENECA
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State | NY
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Zip | 14224-3400
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Country | US
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Telephone | 716-771-1354
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Fax | 716-771-1562
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Provider Business Mailing Address
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Address Line | 3648 SENECA ST
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City | WEST SENECA
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State | NY
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Zip | 14224-3400
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Country | US
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Telephone | 716-771-1354
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Fax | 716-771-1562
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEFANIE A PAWELEK
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Credential | DC, MSA, LAC
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Telephone | 716-771-1354
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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 |
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License Number State |
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