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General NPI Number Information
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NPI Number | 1932391695
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Entity Type | Organization
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Legal Business Name | YAKOVAC FAMILY/SPORTS CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 300 CEDAR BLVD STE 1
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City | PITTSBURGH
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State | PA
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Zip | 15228-1155
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Country | US
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Telephone | 412-563-8211
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Fax | 412-563-8213
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Provider Business Mailing Address
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Address Line | 300 CEDAR BLVD STE 1
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City | PITTSBURGH
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State | PA
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Zip | 15228-1155
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Country | US
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Telephone | 412-563-8211
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Fax | 412-563-8213
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ROBERT LEONARD YAKOVAC
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Credential | D.C.
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Telephone | 412-563-8211
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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 | DC-003599-L
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License Number State | PA
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