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General NPI Number Information
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NPI Number | 1891887667
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Entity Type | Individual
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Provider Name | ERIN RANDAZZO D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3601 HEMPSTEAD TPKE SUITE 405
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City | LEVITTOWN
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State | NY
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Zip | 11756-1375
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Country | US
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Telephone | 516-520-9800
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Fax | 516-520-9316
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Provider Business Mailing Address
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Address Line | 1028 THOMPSON DR
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City | BAY SHORE
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State | NY
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Zip | 11706-6210
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Country | US
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Telephone |
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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 | X009467
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License Number State | NY
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