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General NPI Number Information
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NPI Number | 1194868042
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Entity Type | Organization
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Legal Business Name | CENTORE CHIROPRACTIC PC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2376 JERUSALEM AVE
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1825
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Country | US
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Telephone | 516-679-0900
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Fax | 516-783-6093
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Provider Business Mailing Address
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Address Line | 2376 JERUSALEM AVE
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1825
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Country | US
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Telephone | 516-679-0900
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Fax | 516-783-6093
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. JOSEPHINE MARY CENTORE
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Credential | DC
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Telephone | 516-679-0900
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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 | X0078671
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License Number State | NY
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