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General NPI Number Information
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NPI Number | 1295054294
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Entity Type | Individual
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Provider Name | CHRISTOPHER PETRACCO D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 50 LEOMINSTER RD STE 3
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City | STERLING
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State | MA
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Zip | 01564-2146
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Country | US
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Telephone | 978-413-0196
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Fax | 888-975-7593
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Provider Business Mailing Address
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Address Line | 50 LEOMINSTER RD STE 3
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City | STERLING
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State | MA
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Zip | 01564-2146
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Country | US
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Telephone | 978-413-0196
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Fax | 888-975-7593
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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 | 3272
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License Number State | MA
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