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General NPI Number Information
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NPI Number | 1912014630
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Entity Type | Organization
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Legal Business Name | SPINE & SPORTS INJURY REHABILITATION CENTER, P.C.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 400 MOUNT LEBANON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15234-1503
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Country | US
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Telephone | 412-341-4344
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Fax | 412-341-4339
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Provider Business Mailing Address
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Address Line | 400 MOUNT LEBANON BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15234-1503
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Country | US
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Telephone | 412-341-4344
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Fax | 412-341-4339
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | CHICKIE ORAMAS
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Credential |
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Telephone | 412-341-4344
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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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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC5044L, DC5043L
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License Number State | PA
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