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General NPI Number Information
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NPI Number | 1659382992
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Entity Type | Organization
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Legal Business Name | ADIRONDACK REGION CHIROPRACTIC PC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9 FINNEY BLVD
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City | MALONE
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State | NY
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Zip | 12953-1038
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Country | US
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Telephone | 518-483-2804
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Fax | 518-483-2872
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Provider Business Mailing Address
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Address Line | 9 FINNEY BLVD
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City | MALONE
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State | NY
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Zip | 12953-1038
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Country | US
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Telephone | 518-483-2804
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Fax | 518-483-2872
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Authorized Official
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Title or Position | PRES OF CORP
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Name | DR. JOEL T SANTY
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Credential | DC
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Telephone | 518-483-2804
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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 | X0087171
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X0096621
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License Number State | NY
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