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General NPI Number Information
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NPI Number | 1447329545
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Entity Type | Individual
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Provider Name | SALVATORE DANIEL DIDOMENICO JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 5460 63RD ST E SUITEB
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City | BRADENTON
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State | FL
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Zip | 34203-7808
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Country | US
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Telephone | 941-758-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 7466 EDENMORE ST
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City | BRADENTON
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State | FL
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Zip | 34202-7900
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Country | US
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Telephone | 727-365-4506
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH0007562
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License Number State | FL
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