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NPI 1316851868

NPI 1316851868 : DANIEL SHIN CHIROPRACTIC PLLC : CASSADAGA, NY

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General NPI Number Information
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    NPI Number           |    1316851868
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIEL SHIN CHIROPRACTIC PLLC 
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Dates
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    Enumeration Date     |    10/01/2026
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    Last Update Date     |    10/01/2026
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Provider Practice Location Address
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    Address Line         |    33 N MAIN ST 
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    City                 |    CASSADAGA
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    State                |    NY
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    Zip                  |    14718-9600
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    Country              |    US
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    Telephone            |    716-595-2090
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    Fax                  |    716-961-2434
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Provider Business Mailing Address
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    Address Line         |    PO BOX 300 
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    City                 |    CASSADAGA
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    State                |    NY
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    Zip                  |    14718-0300
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    Country              |    US
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    Telephone            |    716-388-3554
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    Fax                  |    716-961-2434
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DANIEL  SHIN 
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    Credential           |    DC
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    Telephone            |    716-388-3554
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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       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    
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    License Number State |    NULL
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