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General NPI Number Information
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NPI Number | 1801167747
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Entity Type | Organization
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Legal Business Name | DAVID CONNELL D.C. P.C.
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 516 HAIGHT AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2476
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Country | US
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Telephone | 845-485-8582
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Fax | 845-485-1866
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Provider Business Mailing Address
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Address Line | 516 HAIGHT AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2476
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Country | US
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Telephone | 845-485-8582
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Fax | 845-485-1866
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID BRADFORD CONNELL
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Credential | D.C.
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Telephone | 845-485-8582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | X005045
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License Number State | NY
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