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General NPI Number Information
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NPI Number | 1710795455
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Entity Type | Individual
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Provider Name | KERWIN CHIK DC
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Gender | Male
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 111 BROADWAY SUITE 1301
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City | NEW YORK
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State | NY
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Zip | 10006-3906
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Country | US
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Telephone | 212-952-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 90 NORWOOD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-3726
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Country | US
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Telephone | 929-423-7187
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 013906
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License Number State | NY
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