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General NPI Number Information
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NPI Number | 1265761936
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Entity Type | Organization
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Legal Business Name | CIRESI CHIROPRACTIC
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 3285 SOUTH COUNTY TRAIL
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3111
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Country | US
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Telephone | 401-855-0725
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Fax |
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Provider Business Mailing Address
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Address Line | 3285 SOUTH COUNTY TRAIL
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3111
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Country | US
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Telephone | 401-855-0725
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Fax |
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Authorized Official
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Title or Position | INSURANCE BILLER
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Name | MRS. SHIRLEY COOK
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Credential |
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Telephone | 401-738-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | DCP00380
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License Number State | RI
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