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General NPI Number Information
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NPI Number | 1710139365
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Entity Type | Organization
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Legal Business Name | THOMAS J. TESI, D.C., P.C.
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 4120 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10033-3703
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Country | US
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Telephone | 212-568-7403
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Fax | 845-639-0625
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Provider Business Mailing Address
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Address Line | 611 S MOUNTAIN RD
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City | NEW CITY
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State | NY
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Zip | 10956-5706
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Country | US
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Telephone | 845-642-1009
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Fax | 845-639-0625
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Authorized Official
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Title or Position | CHIROPRACTOR/PRESIDENT
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Name | DR. THOMAS J. TESI
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Credential | M.S., D.C., P.C.
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Telephone | 845-642-1009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | X004644
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License Number State | NY
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