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General NPI Number Information
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NPI Number | 1942338579
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC ASSOCIATES OF RICHMOND HILL PC
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105-09 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2014
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Country | US
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Telephone | 718-441-9390
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Fax | 718-441-1061
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Provider Business Mailing Address
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Address Line | 105-09 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2014
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Country | US
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Telephone | 718-441-9390
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Fax | 718-441-1061
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Authorized Official
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Title or Position | PRES
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Name | DR. STEVEN NISSENBAUM
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Credential | DC
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Telephone | 718-441-9390
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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 | X2059
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License Number State | NY
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