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General NPI Number Information
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NPI Number | 1639648215
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Entity Type | Organization
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Legal Business Name | MICHAEL J SREDNIAWSKI, DC, PC
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 12 RENWICK AVE
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City | KINGS PARK
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State | NY
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Zip | 11754-3730
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Country | US
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Telephone | 631-663-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 12 RENWICK AVE
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City | KINGS PARK
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State | NY
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Zip | 11754-3730
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL J SREDNIAWSKI
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Credential | DC
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Telephone | 631-663-5554
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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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