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General NPI Number Information
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NPI Number | 1114089430
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Entity Type | Individual
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Provider Name | MICHAEL LAWRENCE KOLIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 512 FASHION AVE SUITE 1404-A
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City | NEW YORK
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State | NY
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Zip | 10018-4603
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Country | US
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Telephone | 212-768-7979
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Fax | 212-768-1223
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Provider Business Mailing Address
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Address Line | 18 FROST POND DR
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City | ROSLYN
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State | NY
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Zip | 11576-2808
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Country | US
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Telephone | 917-533-3083
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Fax | 212-768-1223
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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 | X009639-1
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License Number State | NY
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