MEDICARE: DR. DENNIS PHILIP PAULINO D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	696	MA

General Provider Information

NPI Number	:	1508844879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS PHILIP PAULINO D.C.

Provider Business Mailing Address
First Line	:	34 WELBY RD
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02745-1134
Country	:	US
Telephone Number	:	508-995-9882
Fax Number	:	508-995-9924

Provider Business Practice Location Address
First Line	:	34 WELBY RD
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02745-1134
Country	:	US
Telephone Number	:	508-995-9882
Fax Number	:	508-995-9924

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/08/2007

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