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General NPI Number Information
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NPI Number | 1033491980
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Entity Type | Organization
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Legal Business Name | CAPOLINO OF NEW YORK CITY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 36 HAMILTON AVE 1S
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1816
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Country | US
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Telephone | 845-709-5500
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Fax | 718-720-7683
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Provider Business Mailing Address
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Address Line | 36 HAMILTON AVE 1S
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1816
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Country | US
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Telephone | 845-709-5500
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Fax | 718-720-7683
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Authorized Official
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Title or Position | OWNER
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Name | TOM F CAPOLINO
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Credential | D.C.
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Telephone | 845-709-5500
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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 |
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License Number State |
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