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General NPI Number Information
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NPI Number | 1356133664
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Entity Type | Organization
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Legal Business Name | ROCKLAND CHIROPRACTIC AND PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 142 AARON CT
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City | KINGSTON
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State | NY
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Zip | 12401-2962
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Country | US
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Telephone | 845-385-6962
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PERLMAN DR STE 101
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City | SPRING VALLEY
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State | NY
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Zip | 10977-5967
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Country | US
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Telephone | 845-385-6962
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Fax |
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Authorized Official
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Title or Position | PT/MANAGING MEMBER
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Name | YOUNG SOOK CHOI
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Credential |
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Telephone | 845-385-6962
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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 |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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