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General NPI Number Information
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NPI Number | 1053932582
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH CHIROPRACTIC PC
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 16519 HILLSIDE AVE
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City | JAMAICA
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State | NY
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Zip | 11432-4134
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Country | US
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Telephone | 347-960-9666
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Fax | 347-960-9664
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Provider Business Mailing Address
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Address Line | 1644 ATLANTIC AVE FL 3
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City | BROOKLYN
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State | NY
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Zip | 11213-1123
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Country | US
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Telephone | 347-724-8837
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SHARENA RAMOS
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Credential | DC
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Telephone | 347-724-8837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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