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NPI 1093868549

NPI 1093868549 : DAVIN L HALPERN DC : NORTHPORT, NY

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General NPI Number Information
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    NPI Number           |    1093868549
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    Entity Type          |    Individual 
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    Provider Name        |    DAVIN L HALPERN DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/19/2007
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    Last Update Date     |    06/26/2008
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Provider Practice Location Address
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    Address Line         |    842 FORT SALONGA RD. SUITE 3
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    City                 |    NORTHPORT
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    State                |    NY
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    Zip                  |    11768-2251
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    Country              |    US
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    Telephone            |    631-757-3000
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    Fax                  |    631-757-9474
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Provider Business Mailing Address
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    Address Line         |    842 FORT SALONGA RD SUITE 3
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    City                 |    NORTHPORT
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    State                |    NY
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    Zip                  |    11768-2251
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    Country              |    US
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    Telephone            |    631-757-3000
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    Fax                  |    631-757-9474
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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       |    X005032
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    License Number State |    NY
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