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General NPI Number Information
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NPI Number | 1093819476
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Entity Type | Individual
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Provider Name | NELSON SEIDMAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 180 SOUTH BROADWAY SUITE #202
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City | WHITE PLAINS
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State | NY
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Zip | 10605
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Country | US
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Telephone | 914-582-2700
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Fax | 888-687-3131
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Provider Business Mailing Address
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Address Line | 280 DOBBS FERRY ROAD DR. NELSON SEIDMAN SUITE #200
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1908
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Country | US
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Telephone | 914-582-2700
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Fax | 888-687-3131
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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 | X000993-1
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License Number State | NY
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