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General NPI Number Information
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NPI Number | 1356785596
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Entity Type | Organization
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Legal Business Name | XOC CHIROPRACTIC INC
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 7955 AIRPORT PULLING RD N SUITE 203
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City | NAPLES
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State | FL
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Zip | 34109-1794
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Country | US
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Telephone | 239-260-5907
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Fax |
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Provider Business Mailing Address
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Address Line | 7955 AIRPORT PULLING RD N SUITE 203
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City | NAPLES
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State | FL
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Zip | 34109-1794
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Country | US
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Telephone | 239-260-5907
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Fax |
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Authorized Official
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Title or Position | DC
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Name | DR. DANNY PORCELLI
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Credential |
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Telephone | 239-260-5907
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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 | CH10313
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License Number State | FL
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