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General NPI Number Information
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NPI Number | 1508951518
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Entity Type | Organization
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Legal Business Name | NATURAL CHIROPRACTIC CARE PC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 160 TOMPKINS AVE SUITE 40693
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2634
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Country | US
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Telephone | 347-596-2444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40693 160 TOMPKINS AVENUE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-0693
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Country | US
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Telephone | 347-596-2444
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Fax | 973-591-0304
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Authorized Official
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Title or Position | CEO
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Name | DR. SHARON RICH
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Credential | DC, FABDA
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Telephone | 347-596-2444
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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 | NJ
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