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General NPI Number Information
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NPI Number | 1255583340
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Entity Type | Organization
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Legal Business Name | LOMONACO HEALTHCARE LLC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 10 CAIRNS ST
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City | TECUMSEH
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State | MI
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Zip | 49286-1202
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Country | US
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Telephone | 517-423-2079
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Fax | 517-423-2090
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Provider Business Mailing Address
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Address Line | 10 CAIRNS ST
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City | TECUMSEH
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State | MI
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Zip | 49286-1202
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Country | US
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Telephone | 517-423-2079
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Fax | 517-423-2090
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. JULIE NOELLE LOMONACO
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Credential | DC
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Telephone | 517-423-2079
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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 | 2301008082
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License Number State | MI
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