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General NPI Number Information
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NPI Number | 1871860924
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Entity Type | Organization
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Legal Business Name | 1 ON 1 CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 62 E 1ST ST/CS1S
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City | NEW YORK
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State | NY
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Zip | 10003-9393
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Country | US
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Telephone | 212-228-7072
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Fax | 212-228-7073
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Provider Business Mailing Address
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Address Line | 62 E 1ST ST/CS1S
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City | NEW YORK
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State | NY
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Zip | 10003-9393
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Country | US
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Telephone | 212-228-7072
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Fax | 212-228-7073
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Authorized Official
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Title or Position | OWNER
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Name | NANCY C HSU
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Credential | DC
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Telephone | 212-228-7072
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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 | X012049-1
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License Number State | NY
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