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General NPI Number Information
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NPI Number | 1457244980
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Entity Type | Organization
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Legal Business Name | CROSS COUNTY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 12911 MERRICK BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-3425
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Country | US
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Telephone | 516-594-1900
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Fax | 516-594-1973
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Provider Business Mailing Address
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Address Line | PO BOX 461
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11571-0461
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Country | US
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Telephone | 516-594-1900
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Fax | 516-594-1973
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. GLENN H WHITNEY
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Credential | D.C.
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Telephone | 516-594-1900
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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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