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General NPI Number Information
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NPI Number | 1639857170
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Entity Type | Individual
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Provider Name | AMIRAH D HE DC
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Gender | Female
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1825 BARNUM AVE STE 304
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City | STRATFORD
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State | CT
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Zip | 06614-5333
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Country | US
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Telephone | 475-522-4476
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Fax |
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Provider Business Mailing Address
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Address Line | 33 DONNA LN
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City | WEST HAVEN
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State | CT
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Zip | 06516-5520
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Country | US
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Telephone | 609-442-2200
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2268
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License Number State | CT
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