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General NPI Number Information
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NPI Number | 1578892543
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Entity Type | Organization
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Legal Business Name | SYOSSET SPORTS THERAPY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 12/21/2009
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 6500 JERICHO TPKE
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City | SYOSSET
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State | NY
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Zip | 11791-4489
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Country | US
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Telephone | 516-931-5000
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Fax | 516-605-0493
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Provider Business Mailing Address
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Address Line | 6500 JERICHO TPKE
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City | SYOSSET
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State | NY
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Zip | 11791-4489
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Country | US
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Telephone | 516-931-5000
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Fax | 516-605-0493
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. THOMAS J FINN
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Credential | D.C.
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Telephone | 516-931-5000
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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 |
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