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General NPI Number Information
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NPI Number | 1578824397
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Entity Type | Organization
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Legal Business Name | PEAK CHIROPRACTIC, PC
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 2025 BRENTWOOD RD
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City | BRENTWOOD
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State | NY
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Zip | 11717-4656
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Country | US
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Telephone | 631-234-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 BRENTWOOD RD
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City | BRENTWOOD
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State | NY
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Zip | 11717-4656
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Country | US
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Telephone | 631-234-4949
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN KLEIN
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Credential | DC
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Telephone | 631-234-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 008570
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License Number State | NY
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