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General NPI Number Information
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NPI Number | 1467867705
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Entity Type | Organization
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Legal Business Name | NOHO CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 632 BROADWAY STE. 303
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City | NEW YORK
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State | NY
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Zip | 10012-2614
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Country | US
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Telephone | 212-645-1495
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Fax | 212-777-1653
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Provider Business Mailing Address
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Address Line | 632 BROADWAY STE. 303
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City | NEW YORK
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State | NY
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Zip | 10012-2614
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Country | US
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Telephone | 212-645-1495
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Fax | 212-777-1653
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN SHOSHANY
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Credential | DC
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Telephone | 212-645-1495
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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 | X-008479-1
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License Number State | NY
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