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General NPI Number Information
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NPI Number | 1942372610
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Entity Type | Individual
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Provider Name | EDWARD HENNESSY D.C., CDN
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5 GRANDVIEW AVE
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City | NANUET
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State | NY
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Zip | 10954-2510
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Country | US
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Telephone | 845-623-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 6 TRINITY PL
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City | NANUET
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State | NY
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Zip | 10954-1043
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Country | US
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Telephone | 845-624-2542
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | X005350
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 002812-1
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License Number State | NY
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