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General NPI Number Information
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NPI Number | 1801110507
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Entity Type | Individual
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Provider Name | BARRY CRAIG SCHLESINGER D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 1158 STONY BROOK ROAD
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City | LAKE GROVE
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State | NY
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Zip | 11755-1610
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Country | US
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Telephone | 631-737-2867
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Fax | 631-737-2867
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Provider Business Mailing Address
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Address Line | 1158 STONY BROOK ROAD
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City | LAKE GROVE
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State | NY
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Zip | 11755-1610
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Country | US
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Telephone | 631-737-2867
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Fax | 631-737-2867
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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 | X005830-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0060000869
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License Number State | VT
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