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General NPI Number Information
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NPI Number | 1245420355
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Entity Type | Organization
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Legal Business Name | AG DC P.C.
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 165 FISHER AVE
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City | EASTCHESTER
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State | NY
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Zip | 10709-2608
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Country | US
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Telephone | 914-395-3977
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Fax | 914-395-3980
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Provider Business Mailing Address
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Address Line | 165 FISHER AVE
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City | EASTCHESTER
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State | NY
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Zip | 10709-2608
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Country | US
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Telephone | 914-395-3977
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Fax | 914-395-3980
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON GRAF
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Credential | D.C.
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Telephone | 914-395-3977
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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 | X009119-1
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License Number State | NY
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