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General NPI Number Information
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NPI Number | 1245586502
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Entity Type | Organization
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Legal Business Name | LISA ANNA SZAMBEL, D.C., P.C.
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 3351 PARK AVE
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City | WANTAGH
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State | NY
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Zip | 11793-3716
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Country | US
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Telephone | 516-221-2125
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Fax | 516-221-2114
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Provider Business Mailing Address
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Address Line | 3351 PARK AVE
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City | WANTAGH
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State | NY
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Zip | 11793-3716
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Country | US
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Telephone | 516-221-2125
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Fax | 516-221-2114
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. LISA ANNA SZAMBEL
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Credential | DC
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Telephone | 516-221-2125
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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 | X005535-1
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License Number State | NY
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