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General NPI Number Information
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NPI Number | 1710111869
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Entity Type | Organization
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Legal Business Name | FLUSHING CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 150-15 41ST AVE #2, #3 FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354-4946
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Country | US
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Telephone | 718-321-8522
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Fax | 718-321-8524
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Provider Business Mailing Address
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Address Line | 150-15 41ST AVE #2, #3 FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354-4946
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Country | US
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Telephone | 718-321-8522
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Fax | 718-321-8524
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Authorized Official
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Title or Position | OWNER
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Name | HYUNIK HWANGBO
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Credential | D.C.
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Telephone | 718-321-8522
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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 | X011383-1
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License Number State | NY
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