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General NPI Number Information
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NPI Number | 1518330125
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Entity Type | Organization
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Legal Business Name | SCARANO FAMILY CHIROPRACTIC, PC
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Dates
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Enumeration Date | 11/04/2015
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 516 UNION AVE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6100
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Country | US
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Telephone | 845-561-4311
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Fax | 845-561-4311
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Provider Business Mailing Address
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Address Line | 516 UNION AVE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6100
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Country | US
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Telephone | 845-561-4311
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Fax | 845-561-4311
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Authorized Official
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Title or Position | SOLE OWNER/CHIROPRACTOR
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Name | EUGENE SCARANO
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Credential | DC
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Telephone | 845-561-4311
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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 | X008817-1
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License Number State | NY
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