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General NPI Number Information
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NPI Number | 1083721666
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Entity Type | Organization
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Legal Business Name | CAMILLI CHIROPRACTIC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2326 S 12TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3540
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Country | US
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Telephone | 215-755-4836
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Fax | 856-251-9691
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Provider Business Mailing Address
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Address Line | 2326 S 12TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3540
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Country | US
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Telephone | 215-755-4836
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Fax | 856-251-9691
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JOSEPH CAMILLI
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Credential | DC
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Telephone | 215-755-4836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 003519-L
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License Number State | PA
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