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General NPI Number Information
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NPI Number | 1396241055
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Entity Type | Organization
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Legal Business Name | KLASS CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 591 STEWART AVE FL 4
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City | GARDEN CITY
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State | NY
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Zip | 11530-4764
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Country | US
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Telephone | 516-307-1345
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Fax | 516-307-1351
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Provider Business Mailing Address
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Address Line | 591 STEWART AVE FL 4
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City | GARDEN CITY
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State | NY
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Zip | 11530-4764
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Country | US
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Telephone | 516-307-1345
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Fax | 516-307-1351
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT KLASS
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Credential | D.C.
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Telephone | 516-330-8810
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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 | X005822
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License Number State | NY
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