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General NPI Number Information
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NPI Number | 1003090770
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Entity Type | Organization
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Legal Business Name | GINAMARIEHANLON,D.C.,P.C.
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 11/07/2009
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Provider Practice Location Address
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Address Line | 145 COURT ST 1ST FLOOR
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City | PLYMOUTH
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State | MA
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Zip | 02360-3807
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Country | US
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Telephone | 508-746-0550
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Fax | 508-746-0072
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Provider Business Mailing Address
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Address Line | 145 COURT ST 1ST FLOOR
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City | PLYMOUTH
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State | MA
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Zip | 02360-3807
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Country | US
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Telephone | 508-746-0550
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Fax | 508-746-0072
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Authorized Official
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Title or Position | OWNER
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Name | DR. GINA HANLON-CAVICCHI
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Credential | DC
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Telephone | 508-746-0550
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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 | 1922
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License Number State | MA
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