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General NPI Number Information
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NPI Number | 1255840542
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Entity Type | Organization
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Legal Business Name | CINQUE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 252 UNION ST APT 1
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City | SCHENECTADY
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State | NY
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Zip | 12305
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Country | US
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Telephone | 518-952-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 2791 W LYDIUS ST
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City | SCHENECTADY
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State | NY
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Zip | 12306-7006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | ALEXA CINQUE
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Credential | DC
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Telephone | 518-952-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | X013008
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X013008
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License Number State | NY
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