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General NPI Number Information
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NPI Number | 1386821585
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Entity Type | Individual
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Provider Name | DANIEL M. TERRAY JR. DC
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Gender | Male
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 140 OLD POST RD
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City | OLD SAYBROOK
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State | CT
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Zip | 06475-4420
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Country | US
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Telephone | 860-388-1994
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Fax | 860-388-2255
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Provider Business Mailing Address
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Address Line | 140 OLD POST RD
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City | OLD SAYBROOK
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State | CT
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Zip | 06475-4420
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Country | US
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Telephone | 860-388-1994
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Fax | 860-388-2255
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 0001940
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License Number State | CT
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