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General NPI Number Information
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NPI Number | 1801129309
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE CHIROPRACTIC OF HARTSDALE P.C.
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 77 TARRYTOWN RD
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1639
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Country | US
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Telephone | 914-421-1059
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Fax | 914-421-1690
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Provider Business Mailing Address
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Address Line | 77 TARRYTOWN RD
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1639
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Country | US
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Telephone | 914-421-1059
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Fax | 914-421-1690
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MARC LAWRENCE HABIF
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Credential | D.C.
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Telephone | 914-421-1059
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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 | X009173
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License Number State | NY
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