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General NPI Number Information
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NPI Number | 1316854854
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Entity Type | Individual
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Provider Name | SAYED-MOHAMMAD BANITABAEI-KOUPAEI D.C., M.ENG.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 1671 W 10TH ST
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City | BROOKLYN
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State | NY
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Zip | 11223-1104
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Country | US
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Telephone | 585-362-9598
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 MOUNT HOPE AVE APT 6
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City | ROCHESTER
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State | NY
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Zip | 14620-2944
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Country | US
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Telephone | 585-362-9598
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Fax |
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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 | 014082
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License Number State | NY
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