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NPI 1982688248

NPI 1982688248 : CHAD DOUGLAS WARSHEL DC : SENECA FALLS, NY

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General NPI Number Information
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    NPI Number           |    1982688248
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    Entity Type          |    Individual 
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    Provider Name        |    CHAD DOUGLAS WARSHEL DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/30/2005
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    Last Update Date     |    09/07/2013
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Provider Practice Location Address
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    Address Line         |    2360 STATE ROUTE 89 
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    City                 |    SENECA FALLS
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    State                |    NY
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    Zip                  |    13148-9425
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    Country              |    US
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    Telephone            |    315-568-3297
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2360 STATE ROUTE 89 
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    City                 |    SENECA FALLS
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    State                |    NY
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    Zip                  |    13148-9425
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    Country              |    US
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    Telephone            |    315-568-3297
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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       |    DC27884
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    111NR0200X
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    Taxonomy Name        |    Radiology Chiropractor
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    License Number       |    DC27884
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    License Number State |    CA
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