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General NPI Number Information
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NPI Number | 1295903516
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Entity Type | Organization
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Legal Business Name | UNION ENDICOTT CHIROPRACTIC, LLP
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 333 ODELL AVE
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City | ENDICOTT
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State | NY
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Zip | 13760-2820
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Country | US
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Telephone | 607-748-4448
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Fax | 607-748-3975
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Provider Business Mailing Address
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Address Line | 333 ODELL AVE
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City | ENDICOTT
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State | NY
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Zip | 13760-2820
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Country | US
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Telephone | 607-748-4448
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Fax | 607-748-3975
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW JOSEPH FINUCAN
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Credential | D.C.
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Telephone | 607-748-4448
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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 | X005562
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License Number State | NY
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