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NPI 1932275443

NPI 1932275443 : AMHERST FAMILY CHIROPRACTIC CENTER, INC. : ITHACA, NY

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General NPI Number Information
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    NPI Number           |    1932275443
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMHERST FAMILY CHIROPRACTIC CENTER, INC. 
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Dates
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    Enumeration Date     |    11/27/2006
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    Last Update Date     |    09/07/2016
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Provider Practice Location Address
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    Address Line         |    3 PHEASANT LN 
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    City                 |    ITHACA
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    State                |    NY
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    Zip                  |    14850-6311
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    Country              |    US
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    Telephone            |    607-319-0813
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    Fax                  |    607-319-0813
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Provider Business Mailing Address
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    Address Line         |    3 PHEASANT LN 
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    City                 |    ITHACA
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    State                |    NY
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    Zip                  |    14850-6311
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    Country              |    US
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    Telephone            |    607-319-0813
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    Fax                  |    607-319-0813
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. LLOYD C KATZ 
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    Credential           |    D.C., D.A.B.C.O.
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    Telephone            |    434-944-5913
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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       |    0104000564
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    License Number State |    VA
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