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General NPI Number Information
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NPI Number | 1639256910
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Entity Type | Organization
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Legal Business Name | ROCKLAND HEALTH & CHIROPRACTIC ASSOC PC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 790 RT 304
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City | NEW CITY
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State | NY
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Zip | 10956
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Country | US
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Telephone | 845-634-7800
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Fax | 845-639-1972
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Provider Business Mailing Address
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Address Line | 490 ROUTE 304
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City | NEW CITY
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State | NY
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Zip | 10956
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Country | US
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Telephone | 845-634-7800
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Fax | 845-639-1972
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | DR. WILLIAM M GROSSO
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Credential | DC
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Telephone | 845-634-7800
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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 | X2597
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License Number State | NY
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