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General NPI Number Information
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NPI Number | 1225188402
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Entity Type | Individual
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Provider Name | RONALD A. MICHELLI D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 4 WEBER AVE
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City | MALVERNE
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State | NY
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Zip | 11565-1742
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Country | US
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Telephone | 516-599-3999
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Fax | 516-887-8106
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Provider Business Mailing Address
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Address Line | 4 WEBER AVE
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City | MALVERNE
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State | NY
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Zip | 11565-1742
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Country | US
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Telephone | 516-599-3999
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Fax | 516-887-8106
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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 | X2805
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License Number State | NY
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