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General NPI Number Information
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NPI Number | 1609950443
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Entity Type | Individual
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Provider Name | PHILIP J CILIO DC, LAC
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/21/2024
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Provider Practice Location Address
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Address Line | 1757 MERRICK AVE SUITE 100
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City | MERRICK
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State | NY
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Zip | 11566-2717
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Country | US
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Telephone | 516-474-9585
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Fax | 516-826-1461
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Provider Business Mailing Address
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Address Line | 1757 MERRICK AVE SUITE 100
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City | MERRICK
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State | NY
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Zip | 11566-2717
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Country | US
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Telephone | 516-474-9585
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Fax | 516-826-1461
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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 | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 007720
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License Number State | NY
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