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General NPI Number Information
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NPI Number | 1083812374
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Entity Type | Organization
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Legal Business Name | DANIEL CARRADORINI DC
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Dates
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Enumeration Date | 07/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 895 LONGFIELD DR
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City | BLUE BELL
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State | PA
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Zip | 19422-1263
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Country | US
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Telephone | 610-277-9935
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Fax |
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Provider Business Mailing Address
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Address Line | 895 LONGFIELD DR
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City | BLUE BELL
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State | PA
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Zip | 19422-1263
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL CARRADORINI
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Credential | DC
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Telephone | 610-277-9935
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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 | DC003722L
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License Number State | PA
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