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General NPI Number Information
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NPI Number | 1013250075
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Entity Type | Individual
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Provider Name | JOSEPH GEORGE GAGLIOTI D.C
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Gender | Male
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 1400 PHILADELPHIA PIKE SUITE A4
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City | WILMINGTON
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State | DE
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Zip | 19809-1856
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Country | US
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Telephone | 302-778-9996
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Fax | 302-296-0996
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Provider Business Mailing Address
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Address Line | 3039 FOULK RD
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City | GARNET VALLEY
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State | PA
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Zip | 19060-1701
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Country | US
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Telephone | 502-882-7172
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Fax | 502-882-7151
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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 | DC010706
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | F1-0000857
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License Number State | DE
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