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General NPI Number Information
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NPI Number | 1851509160
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Entity Type | Organization
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Legal Business Name | SOFT TOUCH CHIROPRACTIC REHABILITATION, P.C.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 315 CENTER OAKS TRL
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City | BAY SHORE
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State | NY
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Zip | 11706-7147
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Country | US
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Telephone | 516-385-1525
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Fax | 516-385-1519
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Provider Business Mailing Address
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Address Line | 315 CENTER OAKS TRL
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City | BAY SHORE
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State | NY
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Zip | 11706-7147
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Country | US
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Telephone | 516-385-1525
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Fax | 516-385-1519
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAYMOND PELLEGRINO
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Credential |
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Telephone | 516-385-1525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | X008404
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License Number State | NY
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