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General NPI Number Information
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NPI Number | 1205306503
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Entity Type | Individual
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Provider Name | DANIEL LUIGI COMUNALE DC
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Gender | Male
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 622 FOX GAP RD
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City | BANGOR
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State | PA
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Zip | 18013-5833
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Country | US
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Telephone | 610-393-2570
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Fax |
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Provider Business Mailing Address
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Address Line | 14 MOUNT BETHEL PLZ
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City | MOUNT BETHEL
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State | PA
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Zip | 18343-5212
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Country | US
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Telephone | 570-234-0995
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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 | DC011424
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License Number State | PA
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