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General NPI Number Information
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NPI Number | 1629165527
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Entity Type | Individual
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Provider Name | DAVID MADEMANN D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7985 US HIGHWAY 9W
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City | CATSKILL
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State | NY
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Zip | 12414-5036
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Country | US
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Telephone | 518-943-0633
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Fax |
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Provider Business Mailing Address
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Address Line | 85 STATE ROUTE 296
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City | WINDHAM
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State | NY
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Zip | 12496-5308
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Country | US
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Telephone | 518-943-0633
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Fax |
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | X08016
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License Number State | NY
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