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General NPI Number Information
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NPI Number | 1275818015
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Entity Type | Organization
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Legal Business Name | CORE HEALTH WELLNESS & REHABILITATION INC
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Dates
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Enumeration Date | 10/12/2011
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 551 POST RD
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City | DARIEN
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State | CT
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Zip | 06820-3631
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Country | US
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Telephone | 203-656-3636
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Fax | 203-656-0741
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Provider Business Mailing Address
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Address Line | 551 POST RD
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City | DARIEN
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State | CT
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Zip | 06820-3631
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Country | US
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Telephone | 203-656-3636
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Fax | 203-656-0741
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CRISTINA MCKAY
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Credential |
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Telephone | 203-656-3636
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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 | 0900
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 004998
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 900
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License Number State | CT
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