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General NPI Number Information
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NPI Number | 1336606680
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Entity Type | Organization
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Legal Business Name | SMALDONE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 12 JOHN ST
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City | KINGSTON
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State | NY
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Zip | 12401-3810
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Country | US
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Telephone | 845-750-6913
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Fax | 845-750-6510
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Provider Business Mailing Address
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Address Line | 12 JOHN ST
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City | KINGSTON
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State | NY
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Zip | 12401-3810
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Country | US
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Telephone | 845-750-6913
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Fax | 845-750-6510
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. DAVID A SMALDONE
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Credential | DC
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Telephone | 845-750-6913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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