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General NPI Number Information
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NPI Number | 1922286871
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Entity Type | Organization
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Legal Business Name | NEIL J KOPPEL DC PC
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Dates
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Enumeration Date | 02/02/2008
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 444 LAKEVILLE RD SUITE 203
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City | LAKE SUCCESS
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State | NY
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Zip | 11042-1165
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Country | US
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Telephone | 516-504-4040
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Fax | 516-482-1948
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Provider Business Mailing Address
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Address Line | 4500 EXECUTIVE DR SUITE 330
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City | NAPLES
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State | FL
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Zip | 34119-8939
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Country | US
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Telephone | 239-214-0214
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEIL J KOPPEL
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Credential | DC LAC
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Telephone | 516-504-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 002077
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X008178
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License Number State | NY
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