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General NPI Number Information
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NPI Number | 1154626372
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Entity Type | Organization
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Legal Business Name | PRISCO CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 134 W 26TH ST SUITE 903
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City | NEW YORK
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State | NY
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Zip | 10001-6803
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Country | US
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Telephone | 212-924-8218
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Fax | 212-924-4077
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Provider Business Mailing Address
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Address Line | 134 W 26TH ST SUITE 903
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City | NEW YORK
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State | NY
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Zip | 10001-6803
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Country | US
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Telephone | 212-924-8218
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Fax | 212-924-4077
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. CHRISTIAN EMANUEL PRISCO
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Credential | D.C.
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Telephone | 212-924-8218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | X010826-1
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License Number State | NY
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