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General NPI Number Information
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NPI Number | 1043391162
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Entity Type | Individual
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Provider Name | HARRY J. BENISATTO D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20 VANDERVENTER AVE # 100
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3752
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Country | US
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Telephone | 516-944-6936
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Fax | 516-944-9427
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Provider Business Mailing Address
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Address Line | 20E VANDERVENTER AVENUE # 100
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3711
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Country | US
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Telephone | 516-944-6936
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Fax | 516-944-9427
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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 | X-002622
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License Number State | NY
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