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General NPI Number Information
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NPI Number | 1053703751
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Entity Type | Organization
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Legal Business Name | CORNERSTONE CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 13682 39TH AVE 6TH FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354-5515
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Country | US
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Telephone | 718-445-2346
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Fax |
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Provider Business Mailing Address
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Address Line | 13682 39TH AVE 6TH FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354-5515
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANNY D CHOI
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Credential | DC
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Telephone | 646-732-9615
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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 | X011985
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License Number State | NY
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