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General NPI Number Information
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NPI Number | 1336084912
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Entity Type | Organization
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Legal Business Name | DR DEAN A. CIANCIULLI, DC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 654 AVENUE C STE 102
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City | BAYONNE
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State | NJ
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Zip | 07002-3899
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Country | US
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Telephone | 201-339-3186
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Fax | 201-339-2474
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Provider Business Mailing Address
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Address Line | 654 AVENUE C STE 102
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City | BAYONNE
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State | NJ
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Zip | 07002-3899
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Country | US
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Telephone | 201-339-3186
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Fax | 201-339-2474
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEAN A. CIANCIULLI
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Credential | DC
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Telephone | 201-339-3186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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