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General NPI Number Information
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NPI Number | 1538291919
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Entity Type | Organization
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Legal Business Name | CARNEVALE CHIROPRACTIC CTR. NC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 240 CHESTNUT ST
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City | WARWICK
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State | RI
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Zip | 02888-3113
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Country | US
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Telephone | 401-781-7002
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Fax |
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Provider Business Mailing Address
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Address Line | 240 CHESTNUT ST
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City | WARWICK
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State | RI
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Zip | 02888-3113
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Country | US
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Telephone | 401-781-7002
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Fax |
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Authorized Official
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Title or Position | PRESENDENT
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Name | CARL BENEDETTO CARNEVALE
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Credential | DC
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Telephone | 401-781-7002
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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 | DC193
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License Number State | RI
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