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General NPI Number Information
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NPI Number | 1447337159
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Entity Type | Organization
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Legal Business Name | ZIMBARDO CHIROPRACTIC OFFICE, PC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 274 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-4419
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Country | US
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Telephone | 914-337-3737
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Fax | 914-771-6049
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Provider Business Mailing Address
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Address Line | 274 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-4419
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Country | US
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Telephone | 914-337-3737
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Fax | 914-771-6049
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN S ZIMBARDO
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Credential | DC, CCSP, DIACN
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Telephone | 914-337-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | X006140
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License Number State | NY
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