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General NPI Number Information
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NPI Number | 1548202674
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Entity Type | Organization
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Legal Business Name | CONNECTICUT FAMILY CHIROPRACTIC CORPORATION PC
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 132 FEDERAL RD SUITE 103
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City | DANBURY
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State | CT
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Zip | 06811-4047
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Country | US
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Telephone | 203-778-2225
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Fax | 203-778-0591
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Provider Business Mailing Address
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Address Line | 132 FEDERAL ROAD SUITE 103
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City | DANBURY
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State | CT
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Zip | 06811
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Country | US
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Telephone | 203-778-2225
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Fax | 203-778-0591
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Authorized Official
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Title or Position | PRESIDENT, MANAGER
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Name | DR. LOUIS DANIEL SCLAFANI
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Credential | D.C.
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Telephone | 203-778-2225
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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 |
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License Number State |
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