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General NPI Number Information
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NPI Number | 1174545313
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Entity Type | Individual
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Provider Name | JOHN P BARONE DC
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5818 HARBOUR VIEW BLVD # D SUITE 150
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City | SUFFOLK
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State | VA
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Zip | 23435-3315
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Country | US
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Telephone | 757-215-1400
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Fax | 757-215-1410
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Provider Business Mailing Address
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Address Line | 5818 HARBOUR VIEW BLVD # D SUITE 150
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City | SUFFOLK
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State | VA
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Zip | 23435-3315
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Country | US
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Telephone | 757-215-1400
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Fax | 757-215-1410
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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 | 0104001597
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License Number State | VA
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