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General NPI Number Information
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NPI Number | 1245446277
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Entity Type | Organization
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Legal Business Name | SCOLIOSIS SYSTEMS OF CHIROPRACTIC, LLP
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1085 PARK AVE SUITE 1E
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City | NEW YORK
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State | NY
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Zip | 10128-1168
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Country | US
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Telephone | 212-360-7760
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Fax | 212-360-7974
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Provider Business Mailing Address
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Address Line | 1085 PARK AVE SUITE 1E
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City | NEW YORK
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State | NY
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Zip | 10128-1168
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Country | US
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Telephone | 212-360-7760
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Fax | 212-360-7974
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MARC J. LAMANTIA
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Credential | D.C.
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Telephone | 212-360-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | X8247
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License Number State | NY
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