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General NPI Number Information
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NPI Number | 1184752545
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Entity Type | Individual
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Provider Name | DAVID MICHAEL SEQUINO D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 576 METACOM AVE. #3
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City | BRISTOL
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State | RI
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Zip | 02809-5100
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Country | US
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Telephone | 401-254-7442
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Fax | 401-254-7443
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Provider Business Mailing Address
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Address Line | 43 LEAHY DR.
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City | BRISTOL
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State | RI
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Zip | 02809-5100
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Country | US
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Telephone | 401-254-6045
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Fax | 401-254-7443
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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 | DCP00507
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License Number State | RI
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