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General NPI Number Information
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NPI Number | 1417182320
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Entity Type | Organization
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Legal Business Name | MIDTOWN TOTAL CHIROPRACTIC REHABILITATION, PLLC
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 235 E 49TH ST
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City | NEW YORK
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State | NY
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Zip | 10017-1537
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Country | US
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Telephone | 212-688-2900
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Fax | 212-759-8046
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Provider Business Mailing Address
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Address Line | 235 E 49TH ST
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City | NEW YORK
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State | NY
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Zip | 10017-1537
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Country | US
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Telephone | 212-688-2900
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Fax | 212-759-8046
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. NOAM SADOVNIK
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Credential | DC
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Telephone | 212-688-2900
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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 | X010883-1
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License Number State | NY
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