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General NPI Number Information
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NPI Number | 1538360581
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Entity Type | Individual
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Provider Name | JOHN ANTHONY PICA D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 11 SETON LN
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City | GREENWICH
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State | CT
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Zip | 06831-4128
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Country | US
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Telephone | 914-645-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 30 LAKE ST APT 2-H
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City | WHITE PLAINS
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State | NY
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Zip | 10603-4033
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Country | US
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Telephone | 914-645-2200
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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 | X008703-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00581900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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