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General NPI Number Information
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NPI Number | 1598897738
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Entity Type | Organization
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Legal Business Name | LYNN CARNAROLI CHIROPRACTIC CENTER OF NORWICH
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 85 SACHEM ST
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City | NORWICH
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State | CT
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Zip | 06360
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Country | US
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Telephone | 860-889-5812
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Fax | 860-886-9247
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Provider Business Mailing Address
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Address Line | 85 SACHEM ST
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City | NORWICH
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State | CT
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Zip | 06360
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Country | US
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Telephone | 860-889-5812
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Fax | 860-886-9247
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Authorized Official
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Title or Position | OWNER
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Name | LYNN CARNAROLI
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Credential | DC
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Telephone | 860-886-9277
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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 | 000586
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License Number State | CT
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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 | 00586
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License Number State | CT
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