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NPI 1912196767

NPI 1912196767 : ALIGNMENT CHIROPRACTIC P.C. : REGO PARK, NY

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General NPI Number Information
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    NPI Number           |    1912196767
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALIGNMENT CHIROPRACTIC P.C. 
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Dates
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    Enumeration Date     |    10/17/2007
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    Last Update Date     |    10/17/2007
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Provider Practice Location Address
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    Address Line         |    9314 QUEENS BLVD 
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    City                 |    REGO PARK
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    State                |    NY
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    Zip                  |    11374-1135
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    Country              |    US
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    Telephone            |    718-830-2700
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    Fax                  |    718-830-3257
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Provider Business Mailing Address
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    Address Line         |    9314 QUEENS BLVD 
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    City                 |    REGO PARK
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    State                |    NY
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    Zip                  |    11374-1135
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    Country              |    US
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    Telephone            |    718-830-2700
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    Fax                  |    718-830-3257
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Authorized Official
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    Title or Position    |    CHIROPRACTOR/OWNER
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    Name                 |    DR. ZANE MICHAEL HOFFMAN 
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    Credential           |    D.C.
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    Telephone            |    718-830-2700
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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       |    X010581-1
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    License Number State |    NY
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