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General NPI Number Information
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NPI Number | 1265705438
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Entity Type | Organization
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Legal Business Name | DENITO CHIROPRACTIC CLINIC, PC
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 408 N ALLEN DR
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City | ALLEN
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State | TX
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Zip | 75013-2500
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Country | US
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Telephone | 972-727-8947
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Fax | 214-495-0891
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Provider Business Mailing Address
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Address Line | 408 N ALLEN DR
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City | ALLEN
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State | TX
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Zip | 75013-2500
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Country | US
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Telephone | 972-727-8947
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Fax | 214-495-0891
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES DENITO
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Credential | D.C.
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Telephone | 972-727-8947
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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 | 2875
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License Number State | TX
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