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General NPI Number Information
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NPI Number | 1235290040
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Entity Type | Organization
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Legal Business Name | BALDINI & ISABELLA CHIROPRACTIC PC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 7960 OSWEGO RD
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City | LIVERPOOL
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State | NY
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Zip | 13090-1950
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Country | US
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Telephone | 315-622-7060
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Fax | 315-622-7061
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Provider Business Mailing Address
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Address Line | 7960 OSWEGO RD
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City | LIVERPOOL
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State | NY
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Zip | 13090-1950
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Country | US
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Telephone | 315-622-7060
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Fax | 315-622-7061
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID ISABELLA
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Credential | DC
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Telephone | 315-622-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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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 |
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License Number State |
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