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General NPI Number Information
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NPI Number | 1336233188
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Entity Type | Individual
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Provider Name | GUY ANDREW DITOMMASO DC
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 9175 STAPLES MILL RD
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City | RICHMOND
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State | VA
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Zip | 23228-2027
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Country | US
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Telephone | 804-944-4576
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Fax | 804-944-4534
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Provider Business Mailing Address
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Address Line | 13720 N CLEVELAND AVE SUITE B
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-4300
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Country | US
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Telephone | 239-997-8100
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Fax | 239-997-4817
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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 | CH9624
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License Number State | FL
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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 | 38MC00194000
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License Number State | NJ
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