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General NPI Number Information
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NPI Number | 1912704909
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Entity Type | Organization
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Legal Business Name | STRONG SPINE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 25 HARRISON ST
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City | JAMESTOWN
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State | NY
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Zip | 14701-6653
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Country | US
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Telephone | 716-664-5966
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Fax | 716-664-5966
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Provider Business Mailing Address
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Address Line | 25 HARRISON ST
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City | JAMESTOWN
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State | NY
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Zip | 14701-6653
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Country | US
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Telephone | 716-488-7999
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | KEVIN STRONG
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Credential | DC
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Telephone | 716-969-4852
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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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