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General NPI Number Information
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NPI Number | 1326809880
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Entity Type | Organization
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Legal Business Name | NEW FREEDOM WELLNESS INC.
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 400 NOKOMIS RD
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City | SOUTHOLD
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State | NY
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Zip | 11971-4845
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Country | US
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Telephone | 516-474-9585
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Fax | 516-826-1461
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Provider Business Mailing Address
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Address Line | 400 NOKOMIS RD
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City | SOUTHOLD
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State | NY
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Zip | 11971-4845
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Country | US
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Telephone | 516-474-9585
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Fax | 516-826-1461
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILIP J CILIO
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Credential | D.C., LAC.
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Telephone | 516-474-9585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number |
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License Number State |
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