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General NPI Number Information
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NPI Number | 1205007697
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Entity Type | Organization
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Legal Business Name | PETER A. VITERITTI, P.C.
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 245 FIRST ST SUITE 1800
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City | CAMBRIDGE
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State | MA
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Zip | 02142-1200
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Country | US
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Telephone | 617-444-8621
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Fax | 617-444-8627
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Provider Business Mailing Address
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Address Line | 82 PALOMINO LANE SUITE 501
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City | BEDFORD
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State | NH
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Zip | 03110-6448
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Country | US
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Telephone | 781-248-7096
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Fax | 603-627-6021
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | NORMA FOTI
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Credential |
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Telephone | 781-248-7096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 854
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License Number State | MA
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