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General NPI Number Information
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NPI Number | 1508082629
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Entity Type | Organization
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Legal Business Name | JMC ASSOCIATES
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 183 MARKET ST
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City | KINGSTON
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State | PA
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Zip | 18704-5444
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Country | US
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Telephone | 570-714-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 183 MARKET ST
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City | KINGSTON
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State | PA
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Zip | 18704-5444
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Country | US
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Telephone | 570-714-7070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL JOSEPH SPICCIOLI
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Credential | D.C.
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Telephone | 570-714-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC 007645L
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License Number State | PA
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