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General NPI Number Information
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NPI Number | 1902179096
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Entity Type | Organization
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Legal Business Name | FLUSHING FAMILY CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 4161 KISSENA BLVD SUITE 35
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City | FLUSHING
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State | NY
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Zip | 11355-3181
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Country | US
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Telephone | 516-244-8415
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Fax |
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Provider Business Mailing Address
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Address Line | 106 KENT RD
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City | VALLEY STREAM
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State | NY
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Zip | 11580-3316
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Country | US
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Telephone | 516-244-8415
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | TINGHIM LEUNG
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Credential |
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Telephone | 516-244-8415
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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 | 012023
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License Number State | NY
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