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General NPI Number Information
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NPI Number | 1104877653
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Entity Type | Individual
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Provider Name | RICHARD SAPORITO DC
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 212 STAFFORD AVE
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City | BRISTOL
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State | CT
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Zip | 06010-4616
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Country | US
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Telephone | 860-589-1491
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 262 655 TERRYVILLE AVENUE
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City | BRISTOL
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State | CT
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Zip | 06011-0262
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Country | US
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Telephone | 860-589-1491
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Fax | 860-583-3581
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 000445
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License Number State | CT
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