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General NPI Number Information
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NPI Number | 1306389598
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Entity Type | Organization
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Legal Business Name | HEALING HANDS CHIROPRACTIC CENTER, PLLC
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 1873 WESTERN AVE SUITE 103
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City | ALBANY
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State | NY
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Zip | 12203-5028
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Country | US
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Telephone | 518-869-8000
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Fax | 518-869-8009
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Provider Business Mailing Address
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Address Line | 1873 WESTERN AVE SUITE 103
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City | ALBANY
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State | NY
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Zip | 12203-5028
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Country | US
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Telephone | 518-869-8000
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT/PROVIDER
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Name | JESSICA MARIE DIAMOND
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Credential | DC
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Telephone | 518-869-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | X0128751
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License Number State | NY
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