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General NPI Number Information
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NPI Number | 1265083745
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Entity Type | Organization
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Legal Business Name | REPAIR RECOVER RESTORE CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 95 CHURCH ST STE 200
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City | WHITE PLAINS
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State | NY
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Zip | 10601-1518
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Country | US
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Telephone | 914-506-5777
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Fax | 914-328-8003
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Provider Business Mailing Address
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Address Line | 95 CHURCH ST STE 200
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City | WHITE PLAINS
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State | NY
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Zip | 10601-1518
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Country | US
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Telephone | 914-506-5777
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Fax | 315-936-3647
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Authorized Official
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Title or Position | CO-OWNER
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Name | STEPHEN HANDLER
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Credential | DC
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Telephone | 845-598-8137
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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 |
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License Number State |
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