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General NPI Number Information
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NPI Number | 1194268193
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Entity Type | Individual
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Provider Name | JOSEPH DOMINICK RECCHIA DC, ATC
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Gender | Male
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 1385 BOSTON POST RD
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City | LARCHMONT
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State | NY
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Zip | 10538-3933
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Country | US
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Telephone | 914-639-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 54 RUGBY RD
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City | YONKERS
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State | NY
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Zip | 10710-1410
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Country | US
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Telephone | 914-400-7546
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Fax |
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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 | 38MC00768700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 013619
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License Number State | NY
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