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General NPI Number Information
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NPI Number | 1295857183
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Entity Type | Organization
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Legal Business Name | CIRCLE OF LIFE CHIROPRACTIC, CO. INC.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 775 PLEASANT ST STE 9
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City | WEYMOUTH
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State | MA
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Zip | 02189-2355
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Country | US
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Telephone | 781-331-6040
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Fax | 339-499-6055
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Provider Business Mailing Address
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Address Line | 775 PLEASANT ST STE 9
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City | WEYMOUTH
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State | MA
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Zip | 02189-2355
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Country | US
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Telephone | 781-331-6040
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Fax | 339-499-6055
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Authorized Official
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Title or Position | OWNER, CHIROPRACTOR
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Name | DIANE M CAPONE
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Credential |
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Telephone | 781-331-6040
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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 | CH2337
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License Number State | MA
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