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General NPI Number Information
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NPI Number | 1255734455
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Entity Type | Organization
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Legal Business Name | MAZ CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 15280 ROCKAWAY BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-2800
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Country | US
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Telephone | 347-761-9988
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Fax | 718-712-8482
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Provider Business Mailing Address
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Address Line | 15280 ROCKAWAY BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-2800
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Country | US
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Telephone | 347-761-9988
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Fax | 718-712-8482
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YAKOV ZILBERMAN
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Credential | D.C.
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Telephone | 347-761-9988
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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 | X010723
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License Number State | NY
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