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General NPI Number Information
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NPI Number | 1912054313
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Entity Type | Organization
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Legal Business Name | JAROSZ CHIROPRACTIC HEALING HANDS OF CNY, P.C.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/03/2008
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Provider Practice Location Address
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Address Line | 1 NOTRE DAME LN STE 3
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City | UTICA
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State | NY
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Zip | 13502-4817
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Country | US
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Telephone | 315-733-3377
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Fax | 315-733-5024
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Provider Business Mailing Address
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Address Line | 1 NOTRE DAME LN STE 3
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City | UTICA
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State | NY
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Zip | 13502-4817
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Country | US
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Telephone | 315-733-3377
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Fax | 315-733-5024
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN R JAROSZ JR.
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Credential | D.C.
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Telephone | 315-733-3377
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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 | X011243-1
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License Number State | NY
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