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General NPI Number Information
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NPI Number | 1700283785
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Entity Type | Organization
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Legal Business Name | STRUCTURAL CORRECTION PHYSICAL THERAPY AND CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 115 E 57TH ST 1420
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City | NEW YORK
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State | NY
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Zip | 10022-2049
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Country | US
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Telephone | 212-480-5444
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Fax | 888-316-4339
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Provider Business Mailing Address
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Address Line | 115 E 57TH ST 1420
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City | NEW YORK
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State | NY
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Zip | 10022-2049
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Country | US
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Telephone | 212-480-5444
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Fax | 888-316-4339
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG D FISHEL
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Credential |
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Telephone | 212-480-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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