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NPI 1245106087

NPI 1245106087 : NADERI CHIROPRACTIC PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1245106087
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    Entity Type          |    Organization 
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    Legal Business Name  |    NADERI CHIROPRACTIC PC 
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Dates
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    Enumeration Date     |    10/16/2025
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    Last Update Date     |    10/16/2025
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Provider Practice Location Address
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    Address Line         |    30 E 60TH ST RM 208 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022-7135
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    Country              |    US
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    Telephone            |    718-844-3174
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    625 W 57TH ST APT 463 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10019-2622
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    Country              |    US
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    Telephone            |    718-844-3174
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |    MS. AREZOU  NADERI 
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    Credential           |    DC
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    Telephone            |    718-844-3174
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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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