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General NPI Number Information
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NPI Number | 1598704306
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Entity Type | Individual
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Provider Name | ALFONSO DI CARLO DC
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 4540 HAMILTON BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-6195
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Country | US
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Telephone | 610-366-1336
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Fax | 610-366-1397
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Provider Business Mailing Address
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Address Line | 4540 HAMILTON BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-6195
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Country | US
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Telephone | 610-366-1336
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Fax | 610-366-1397
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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 | DC007846L
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License Number State | PA
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