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General NPI Number Information
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NPI Number | 1952723694
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Entity Type | Organization
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Legal Business Name | LAWRENCE COUNTY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 2024 E WASHINGTON ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-5354
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Country | US
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Telephone | 724-654-2008
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Fax | 724-652-5661
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Provider Business Mailing Address
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Address Line | 2024 E WASHINGTON ST
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City | NEW CASTLE
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State | PA
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Zip | 16101-5354
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Country | US
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Telephone | 724-654-2008
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Fax | 724-652-5661
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY J GERAMITA JR.
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Credential | D.C.
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Telephone | 724-654-2008
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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 | DC007191L
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License Number State | PA
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