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General NPI Number Information
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NPI Number | 1326390923
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Entity Type | Organization
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Legal Business Name | TINNIRELLO CHIROPRACTIC & FAMILY WELLNESS CLINIC LTD
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 2827 HARLEM AVE
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City | BERWYN
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State | IL
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Zip | 60402-2825
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Country | US
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Telephone | 708-317-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 2827 HARLEM AVE
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City | BERWYN
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State | IL
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Zip | 60402-2825
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Country | US
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Telephone | 708-317-9191
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | PIETRO TINNIRELLO
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Credential | D.C.
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Telephone | 630-709-4225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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