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General NPI Number Information
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NPI Number | 1184784506
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Entity Type | Organization
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Legal Business Name | DONNA J. BACH, D.C. P.C.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 202 VINCENT DR
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City | EAST MEADOW
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State | NY
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Zip | 11554-2425
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Country | US
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Telephone | 516-794-3600
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Fax | 516-794-3609
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Provider Business Mailing Address
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Address Line | 202 VINCENT DR
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City | EAST MEADOW
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State | NY
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Zip | 11554-2425
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Country | US
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Telephone | 516-794-3600
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Fax | 516-794-3609
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONNA J BACH
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Credential | D.C.
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Telephone | 516-794-3600
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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 | X3455-1
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License Number State | NY
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