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General NPI Number Information
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NPI Number | 1053673541
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Entity Type | Organization
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Legal Business Name | BENJAMIN TOSKY, D.C., P.A.
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 312 W MILLBROOK RD #105
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City | RALEIGH
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State | NC
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Zip | 27609-4389
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Country | US
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Telephone | 919-606-2538
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Fax |
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Provider Business Mailing Address
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Address Line | 312 W MILLBROOK RD #105
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City | RALEIGH
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State | NC
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Zip | 27609-4389
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Country | US
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Telephone | 919-606-2538
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BENJAMIN TOSKY
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Credential | D.C.
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Telephone | 919-606-2538
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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 | 4214
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License Number State | NC
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