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General NPI Number Information
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NPI Number | 1508991811
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Entity Type | Individual
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Provider Name | ANTHONY R. DIPASTINA D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2141 US HIGHWAY 1
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4407
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Country | US
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Telephone | 609-394-5111
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Fax | 609-394-8242
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Provider Business Mailing Address
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Address Line | PO BOX 55845
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City | TRENTON
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State | NJ
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Zip | 08638-6845
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Country | US
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Telephone | 609-394-5111
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Fax | 609-394-8242
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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 | MC02210
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License Number State | NJ
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