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Individual
DR. DONNEL BERNARD EDDY
Active
Individual
DR. DONNEL BERNARD EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557360
VA
111N00000X
Chiropractor
X009775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10082112
CDPHP PROVIDER NUMBER
NY
01
—
X6T37
EMPIRE BC PROVIDER #
NY
Enumeration date
05/23/2007
Last updated
10/12/2021
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