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General NPI Number Information
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NPI Number | 1336210970
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Entity Type | Organization
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Legal Business Name | CHIRO CARE CHIROPRACTIC OFFICE P.C.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1068 HICKSVILLE RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-1268
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Country | US
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Telephone | 516-454-0400
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Fax | 516-454-0406
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Provider Business Mailing Address
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Address Line | 1068 HICKSVILLE RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-1268
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Country | US
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Telephone | 516-454-0400
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Fax | 516-454-0406
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KEVIN K KULIK
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Credential | DC
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Telephone | 516-454-0400
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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 | X0029751
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License Number State | NY
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