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General NPI Number Information
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NPI Number | 1518189075
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Entity Type | Organization
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Legal Business Name | MAIN CHIROPRACTIC & REHABILITATION CENTER
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 634 MAIN ST
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City | NEW ROCHELLE
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State | NY
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Zip | 10801
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Country | US
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Telephone | 914-654-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 634 MAIN ST
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City | NEW ROCHELLE
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State | NY
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Zip | 10801
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Country | US
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Telephone | 914-654-1100
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SAMER B MAZAHREH
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Credential | DC
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Telephone | 914-654-1100
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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 | X008720
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X009616
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License Number State | NY
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