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General NPI Number Information
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NPI Number | 1235540147
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Entity Type | Organization
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Legal Business Name | DR. DAVID ACKERMAN DC PC
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 6080 JERICHO TPKE SUITE 305
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City | COMMACK
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State | NY
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Zip | 11725-2850
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Country | US
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Telephone | 631-379-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 6080 JERICHO TPKE SUITE 305
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City | COMMACK
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State | NY
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Zip | 11725-2850
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Country | US
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Telephone | 631-379-0904
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Fax |
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Authorized Official
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Title or Position | BILLING REPRESENTATIVE
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Name | MS. DEBORAH HILDERLEY
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Credential |
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Telephone | 352-683-3855
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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 |
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License Number State |
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