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General NPI Number Information
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NPI Number | 1427128776
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Entity Type | Organization
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Legal Business Name | NAUGATUCK FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 25 CHERRY ST
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City | NAUGATUCK
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State | CT
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Zip | 06770-4109
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Country | US
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Telephone | 203-723-7401
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Fax | 203-723-9167
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Provider Business Mailing Address
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Address Line | 25 CHERRY ST
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City | NAUGATUCK
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State | CT
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Zip | 06770-4109
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Country | US
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Telephone | 203-723-7401
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Fax | 203-723-9167
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Authorized Official
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Title or Position | CHIROPRACTIC
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Name | GREG WILLIAM ROCCHIO
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Credential | D.C., M.S.
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Telephone | 203-723-7401
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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 | 001457
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License Number State | CT
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