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General NPI Number Information
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NPI Number | 1912209966
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Entity Type | Organization
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Legal Business Name | RABU CHIROPRACTIC & DIAGNOSTIC SERVICES, P.C.
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 990 STEWART AVE SUITE LL30
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City | GARDEN CITY
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State | NY
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Zip | 11530-4822
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Country | US
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Telephone | 516-280-9600
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Fax | 516-280-9599
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Provider Business Mailing Address
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Address Line | 990 STEWART AVE SUITE LL30
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City | GARDEN CITY
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State | NY
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Zip | 11530-4822
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Country | US
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Telephone | 516-280-9600
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Fax | 516-280-9599
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JARRETT BUDA
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Credential | DC
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Telephone | 516-280-9600
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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 | 009317
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License Number State | NY
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