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General NPI Number Information
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NPI Number | 1437405552
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Entity Type | Organization
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Legal Business Name | VITALE CHIROPRACTIC & REHABILITATION CENTER P.C.
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 1700 NORTHAMPTON ST SUITE D
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City | EASTON
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State | PA
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Zip | 18042-3144
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Country | US
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Telephone | 610-438-5896
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Fax | 610-438-5898
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Provider Business Mailing Address
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Address Line | 1700 NORTHAMPTON ST SUITE D
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City | EASTON
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State | PA
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Zip | 18042-3144
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Country | US
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Telephone | 610-438-5896
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Fax | 610-438-5898
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY VITALE
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Credential | D.C.
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Telephone | 610-438-5896
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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 |
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License Number State |
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