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General NPI Number Information
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NPI Number | 1073084166
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Entity Type | Organization
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Legal Business Name | BSV CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 1574 US 9 SUITE 13
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590
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Country | US
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Telephone | 845-596-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 8 ROBIN HOOD RD
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City | SUFFERN
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State | NY
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Zip | 10901-3809
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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 | OWNER
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Name | DR. BENJAMIN VALLON
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Credential | DC
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Telephone | 845-596-6320
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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 |
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License Number State |
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