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General NPI Number Information
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NPI Number | 1831674894
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Entity Type | Individual
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Provider Name | KEVIN SUNYAK DC
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Gender | Male
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 4301 GARDEN CITY DR STE 104
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City | LANDOVER
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State | MD
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Zip | 20785-6102
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Country | US
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Telephone | 301-577-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 316 YORK ST APT G
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City | JERSEY CITY
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State | NJ
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Zip | 07302-4011
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Country | US
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Telephone | 908-591-5450
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Fax |
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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 | S03987
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License Number State | MD
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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 | 38MC00791200
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License Number State | NJ
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