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General NPI Number Information
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NPI Number | 1407128333
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Entity Type | Organization
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Legal Business Name | MENTA CHIROPRACTIC, LLC.
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 148 RESEARCH DR STE A
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City | MILFORD
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State | CT
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Zip | 06460-8537
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Country | US
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Telephone | 203-713-8833
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Fax | 203-713-8844
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Provider Business Mailing Address
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Address Line | 9 RESEARCH DR
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City | MILFORD
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State | CT
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Zip | 06460-2863
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Country | US
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Telephone | 203-713-8833
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Fax | 203-713-8844
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Authorized Official
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Title or Position | OWNER/ CHIROPRACTOR
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Name | DR. FRANCO MENTA
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Credential | D.C.
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Telephone | 203-713-8833
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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 | 001281
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License Number State | CT
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