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General NPI Number Information
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NPI Number | 1245593912
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Entity Type | Organization
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Legal Business Name | NANCY A RADIGAN DC PC
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 3979 STATE HIGHWAY 30
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City | AMSTERDAM
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State | NY
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Zip | 12010-6509
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Country | US
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Telephone | 518-883-4456
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Fax | 518-883-6572
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Provider Business Mailing Address
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Address Line | 3979 STATE HIGHWAY 30
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City | AMSTERDAM
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State | NY
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Zip | 12010-6509
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Country | US
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Telephone | 518-883-4456
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Fax | 518-883-6572
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY A RADIGAN
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Credential | D.C.
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Telephone | 518-883-4456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | X005402-1
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License Number State | NY
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