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General NPI Number Information
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NPI Number | 1295077436
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Entity Type | Organization
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Legal Business Name | DR LF DIDONATO DC PA
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 1200 S PINELLAS AVE #9
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3728
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Country | US
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Telephone | 727-934-5604
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Fax | 727-938-1873
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Provider Business Mailing Address
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Address Line | 1200 S PINELLAS AVE #9
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3728
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Country | US
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Telephone | 727-934-5604
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Fax | 727-938-1873
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Authorized Official
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Title or Position | OWNER
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Name | LOUIS F DIDONATO
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Credential | DC PA
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Telephone | 727-934-5604
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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 | CH2519
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License Number State | FL
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