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General NPI Number Information
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NPI Number | 1760624720
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Entity Type | Organization
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Legal Business Name | ANGEL TOUCH CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 13618 39TH AVE STE 908
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City | FLUSHING
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State | NY
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Zip | 11354-5577
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Country | US
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Telephone | 718-961-8823
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Fax | 718-961-8815
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Provider Business Mailing Address
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Address Line | 13618 39TH AVE STE 908
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City | FLUSHING
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State | NY
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Zip | 11354-5577
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Country | US
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Telephone | 718-961-8823
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Fax | 718-961-8815
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP WANG
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Credential | D.C.
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Telephone | 718-961-8823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | X009628
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License Number State | NY
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