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General NPI Number Information
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NPI Number | 1629115175
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Entity Type | Organization
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Legal Business Name | DR. LAWRENCE J. MORICONE CHIROPRACTOR. P.C
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 244 OLD MAMARONECK RD
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City | WHITE PLAINS
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State | NY
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Zip | 10605
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Country | US
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Telephone | 914-287-0324
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Fax | 914-288-0232
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Provider Business Mailing Address
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Address Line | 244 OLD MAMARONECK RD
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City | WHITE PLAINS
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State | NY
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Zip | 10605
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Country | US
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Telephone | 914-287-0324
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Fax | 914-288-0232
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Authorized Official
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Title or Position | PRES
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Name | DR. LAWRENCE J MORICONE
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Credential | DC
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Telephone | 914-287-0324
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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 | 4290-5
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License Number State | NY
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