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General NPI Number Information
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NPI Number | 1487452678
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Entity Type | Organization
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Legal Business Name | NEW WINDSOR CHIROPRACTIC P.C
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 3188 ROUTE 9W STE B
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6754
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Country | US
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Telephone | 845-310-4615
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Fax | 845-310-4616
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Provider Business Mailing Address
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Address Line | 3188 ROUTE 9W STE B
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6754
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Country | US
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Telephone | 845-310-4615
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MICHAEL VARGAS
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Credential | DC
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Telephone | 201-957-5864
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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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