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General NPI Number Information
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NPI Number | 1730465477
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Entity Type | Organization
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Legal Business Name | SCARSDALE CHIROPRACTIC & ACUPUNCTURE PLLC
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 83 MONTGOMERY AVE
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City | SCARSDALE
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State | NY
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Zip | 10583-5104
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Country | US
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Telephone | 914-472-6688
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Fax | 914-961-8489
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Provider Business Mailing Address
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Address Line | 83 MONTGOMERY AVE
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City | SCARSDALE
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State | NY
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Zip | 10583-5104
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Country | US
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Telephone | 914-472-6688
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Fax | 914-961-8489
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARCO CARUOS
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Credential | DC
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Telephone | 914-961-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 003862-1
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License Number State | NY
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