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General NPI Number Information
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NPI Number | 1568545580
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Entity Type | Individual
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Provider Name | GREGG ALLEN MEDEIROS D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 1196 ELMWOOD AVE
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City | PROVIDENCE
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State | RI
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Zip | 02907-3716
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Country | US
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Telephone | 401-461-1600
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Fax | 401-461-3500
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Provider Business Mailing Address
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Address Line | 43 MOUNTAIN AVE
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City | RIVERSIDE
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State | RI
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Zip | 02915-5015
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Country | US
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Telephone | 401-440-4228
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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 | DCP00545
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | DCP00545
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License Number State | RI
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