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General NPI Number Information
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NPI Number | 1639975865
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Entity Type | Organization
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Legal Business Name | PRIOLO AND BERNS CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 3243 ROUTE 112 BLD 1 STE 2
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City | MEDFORD
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State | NY
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Zip | 11763
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Country | US
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Telephone | 516-238-6799
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Fax |
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Provider Business Mailing Address
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Address Line | 3243 ROUTE 112 BLD 1 STE 2
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City | MEDFORD
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State | NY
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Zip | 11763
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Country | US
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Telephone | 516-238-6799
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRUCE BERNS
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Credential | DC
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Telephone | 516-238-6799
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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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