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General NPI Number Information
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NPI Number | 1629564950
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Entity Type | Organization
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Legal Business Name | BROWNSVILLE CHIROPRACTIC, PC
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 409 ROCKAWAY AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11212-5635
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Country | US
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Telephone | 914-648-8865
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Fax | 718-676-5774
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Provider Business Mailing Address
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Address Line | 409 ROCKAWAY AVE FL 2
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City | BROOKLYN
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State | NY
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Zip | 11212-5635
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Country | US
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Telephone | 914-648-8865
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Fax | 718-676-5774
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN P BUCCI
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Credential | DC
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Telephone | 718-676-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | X008968
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License Number State | NY
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