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General NPI Number Information
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NPI Number | 1023270865
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Entity Type | Organization
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Legal Business Name | DINI CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 253 N 3RD ST
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City | LARAMIE
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State | WY
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Zip | 82072-3005
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Country | US
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Telephone | 307-742-9378
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Fax | 307-742-9379
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Provider Business Mailing Address
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Address Line | 253 N 3RD ST
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City | LARAMIE
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State | WY
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Zip | 82072-3005
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Country | US
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Telephone | 307-742-9378
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Fax | 307-742-9379
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERRENCE J DINI
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Credential | D.C.
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Telephone | 307-742-9378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 543
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License Number State | WY
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