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General NPI Number Information
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NPI Number | 1457561565
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Entity Type | Organization
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Legal Business Name | GADOCI CHIROPRACTIC HEALTH CENTER, P.C.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 304 FEDERAL RD STE 210
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City | BROOKFIELD
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State | CT
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Zip | 06804-2418
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Country | US
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Telephone | 203-775-3668
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Fax | 203-775-0591
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Provider Business Mailing Address
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Address Line | 331 S MAIN ST
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City | NEWTOWN
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State | CT
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Zip | 06470-2743
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT GADOCI
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Credential |
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Telephone | 203-775-3668
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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 | 000784
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License Number State | CT
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