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General NPI Number Information
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NPI Number | 1144470055
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Entity Type | Individual
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Provider Name | KRISTINA LOUISE PETROCCO-NAPULI DC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2008
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Last Update Date | 01/28/2017
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Provider Practice Location Address
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Address Line | 6698 68TH AVE N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5015
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Country | US
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Telephone | 727-803-6121
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Fax |
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Provider Business Mailing Address
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Address Line | 6698 68TH AVE N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5015
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Country | US
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Telephone | 727-803-6121
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X10782
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11190
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License Number State | FL
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