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General NPI Number Information
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NPI Number | 1013349893
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Entity Type | Organization
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Legal Business Name | WESTBURY PHYSICAL THERAPY AND CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 320 POST AVE SUITE 100
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City | WESTBURY
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State | NY
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Zip | 11590-2257
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Country | US
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Telephone | 516-280-7180
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Fax | 516-255-9130
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Provider Business Mailing Address
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Address Line | 320 POST AVE SUITE 100
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City | WESTBURY
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State | NY
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Zip | 11590-2257
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Country | US
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Telephone | 516-280-7180
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Fax | 516-255-9130
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEE A WEINER
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Credential | DC
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Telephone | 516-578-5373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X009660
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License Number State | NY
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