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General NPI Number Information
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NPI Number | 1285882225
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Entity Type | Organization
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Legal Business Name | SIDERIS FAMILY CHIROPRACTIC PC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 01/22/2009
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Provider Practice Location Address
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Address Line | 1874 ROUTE 52
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-3502
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Country | US
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Telephone | 845-896-0717
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Fax |
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Provider Business Mailing Address
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Address Line | 1874 ROUTE 52
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-3502
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Country | US
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Telephone | 845-896-0717
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JAMES CHRISTOPHER SIDERIS
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Credential | D.C.
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Telephone | 845-896-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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