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General NPI Number Information
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NPI Number | 1548576432
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Entity Type | Organization
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Legal Business Name | SYOSSET CHIROPRACTIC ASSOCIATES PC
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 332 JACKSON AVE
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City | SYOSSET
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State | NY
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Zip | 11791-4124
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Country | US
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Telephone | 516-682-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 332 JACKSON AVE
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City | SYOSSET
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State | NY
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Zip | 11791-4124
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Country | US
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Telephone | 516-682-5050
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY M CONTE
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Credential | DC
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Telephone | 516-682-5050
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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 | NY
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