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General NPI Number Information
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NPI Number | 1306829262
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Entity Type | Individual
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Provider Name | MARTIN DAVID LUPOWITZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 2919 LUCAS TPKE
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City | ACCORD
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State | NY
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Zip | 12404-5633
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Country | US
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Telephone | 845-626-2500
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Fax | 888-972-4614
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Provider Business Mailing Address
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Address Line | 13 SUOMINEN LN
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City | ULSTER PARK
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State | NY
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Zip | 12487-5343
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Country | US
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Telephone | 845-626-2500
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Fax | 888-972-4614
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | X006669
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License Number State | NY
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