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General NPI Number Information
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NPI Number | 1497059679
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Entity Type | Organization
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Legal Business Name | M.U.A. CHIROPRACTIC HEALTH CARE, PLLC
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 595 STEWART AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4787
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Country | US
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Telephone | 631-748-2522
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Fax |
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Provider Business Mailing Address
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Address Line | 227 SKYLINE DR
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City | CORAM
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State | NY
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Zip | 11727-3639
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Country | US
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Telephone | 631-748-2522
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. BARRY V COHEN
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Credential | D.C.
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Telephone | 631-748-2522
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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 | X2629
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License Number State | NY
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