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NPI 1356699698

NPI 1356699698 : JOHN V. DEMAIO DC PC : GAMBRILLS, MD

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General NPI Number Information
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    NPI Number           |    1356699698
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHN V. DEMAIO DC PC 
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Dates
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    Enumeration Date     |    08/16/2012
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    Last Update Date     |    07/14/2022
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Provider Practice Location Address
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    Address Line         |    2391 BRANDERMILL BLVD STE 105 
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    City                 |    GAMBRILLS
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    State                |    MD
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    Zip                  |    21054-1985
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    Country              |    US
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    Telephone            |    410-721-2222
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    Fax                  |    410-721-2437
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Provider Business Mailing Address
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    Address Line         |    2391 BRANDERMILL BLVD STE 105 
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    City                 |    GAMBRILLS
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    State                |    MD
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    Zip                  |    21054-1985
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    Country              |    US
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    Telephone            |    410-721-2222
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    Fax                  |    410-721-2437
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Authorized Official
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    Title or Position    |    DOCTOR- OWNER
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    Name                 |    DR. JOHN V DEMAIO 
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    Credential           |    D.C.
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    Telephone            |    410-721-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111NN1001X
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    Taxonomy Name        |    Nutrition Chiropractor
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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        |    111NR0400X
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    Taxonomy Name        |    Rehabilitation Chiropractor
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    License Number       |    
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    License Number State |    
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