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General NPI Number Information
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NPI Number | 1487926382
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Entity Type | Individual
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Provider Name | ANTHONY MICHAEL DEMARIA D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2001 CROCKER RD STE 100
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City | WESTLAKE
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State | OH
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Zip | 44145-1954
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Country | US
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Telephone | 440-471-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 CROCKER RD STE 100
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City | WESTLAKE
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State | OH
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Zip | 44145-6977
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Country | US
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Telephone | 440-471-4200
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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 | 4254
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License Number State | OH
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