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General NPI Number Information
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NPI Number | 1770602203
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Entity Type | Organization
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Legal Business Name | NEW YORK CHIROPRACTIC HEALTHCARE PLLC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 9 COATES DR
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City | GOSHEN
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State | NY
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Zip | 10924-6762
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Country | US
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Telephone | 845-291-1092
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Fax | 845-294-1097
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Provider Business Mailing Address
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Address Line | 9 COATES DR
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City | GOSHEN
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State | NY
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Zip | 10924-6762
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Country | US
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Telephone | 845-291-1092
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Fax | 845-294-1097
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. TRACY LAUFER
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Credential | DC
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Telephone | 845-294-1092
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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 | 10827
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License Number State | NY
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