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General NPI Number Information
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NPI Number | 1457536393
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Entity Type | Organization
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Legal Business Name | DR. TU'S CHIROPRACTIC PC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 136-75 37TH AVE SUITE 11
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-461-9228
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Fax |
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Provider Business Mailing Address
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Address Line | 143-30 ROOSEVELT AVE. APT# 2P
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-461-9228
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HENRY TU
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Credential | D.C.
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Telephone | 718-461-9228
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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 | X009420
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License Number State | NY
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