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NPI 1043379464

NPI 1043379464 : KENNETH CHARLES KALMAN DC : ISLIP, NY

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General NPI Number Information
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    NPI Number           |    1043379464
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    Entity Type          |    Individual 
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    Provider Name        |    KENNETH CHARLES KALMAN DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/08/2006
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    Last Update Date     |    09/03/2010
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Provider Practice Location Address
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    Address Line         |    2381 SUNRISE HWY 
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    City                 |    ISLIP
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    State                |    NY
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    Zip                  |    11751-2030
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    Country              |    US
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    Telephone            |    631-224-3042
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    Fax                  |    631-224-3044
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Provider Business Mailing Address
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    Address Line         |    2381 SUNRISE HWY 
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    City                 |    ISLIP
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    State                |    NY
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    Zip                  |    11751-2030
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    Country              |    US
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    Telephone            |    631-224-3042
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    Fax                  |    631-224-3044
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    X002218
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    License Number State |    NY
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