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General NPI Number Information
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NPI Number | 1487867420
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Entity Type | Individual
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Provider Name | LYNDA DORICENT D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 690 BROADWAY
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City | SOMERVILLE
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State | MA
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Zip | 02144
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Country | US
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Telephone | 617-629-2600
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Fax | 617-666-9302
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Provider Business Mailing Address
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Address Line | 52 MORRISON AVE
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City | SOMERVILLE
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State | MA
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Zip | 02144-2309
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Country | US
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Telephone | 617-872-2140
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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 | 2700
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License Number State | MA
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