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General NPI Number Information
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NPI Number | 1316151582
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Entity Type | Organization
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Legal Business Name | MORDECAI J MUCHNICK DCPC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 367 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2044
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Country | US
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Telephone | 516-483-0327
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Fax | 516-483-0330
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Provider Business Mailing Address
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Address Line | 367 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2044
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Country | US
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Telephone | 516-483-0327
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Fax | 516-483-0330
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MORDECAI JUDAH MUCHNICK
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Credential | DC
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Telephone | 516-483-0327
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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 | X0022331
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License Number State | NY
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