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General NPI Number Information
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NPI Number | 1457638314
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Entity Type | Organization
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Legal Business Name | WEST HILLS CHIROPRACTIC PAIN PC
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 400 W JERICHO TPKE
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City | HUNTINGTON
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State | NY
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Zip | 11743-6059
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Country | US
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Telephone | 516-322-4354
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Fax |
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Provider Business Mailing Address
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Address Line | 400 W JERICHO TPKE
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City | HUNTINGTON
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State | NY
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Zip | 11743-6059
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Country | US
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Telephone | 516-322-4354
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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. JOSEPH MICHAEL MILLS
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Credential | D.C.
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Telephone | 516-322-4354
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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 | X-002898-1
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License Number State | NY
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