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General NPI Number Information
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NPI Number | 1265705396
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Entity Type | Organization
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Legal Business Name | LAROCCA CHIROPRACTIC LLC.
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 4212 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606-2325
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Country | US
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Telephone | 352-428-8345
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Fax |
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Provider Business Mailing Address
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Address Line | 4212 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606-2325
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Country | US
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Telephone | 352-428-8345
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. CHRISTOPHER JOHN LAROCCA
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Credential | DC
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Telephone | 352-428-8345
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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 | CH9716
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License Number State | FL
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