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General NPI Number Information
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NPI Number | 1619027745
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Entity Type | Individual
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Provider Name | ROBERT JAMES MCEVOY D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1941 DEER PARK AVE STE A
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City | DEER PARK
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State | NY
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Zip | 11729-3326
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Country | US
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Telephone | 631-254-0155
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Fax | 631-254-0157
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Provider Business Mailing Address
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Address Line | 1941 DEER PARK AVE STE A
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City | DEER PARK
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State | NY
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Zip | 11729-3326
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Country | US
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Telephone | 631-254-0155
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Fax | 631-254-0157
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | X5403-1
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License Number State | NY
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