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General NPI Number Information
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NPI Number | 1669474367
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Entity Type | Organization
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Legal Business Name | JAMES A. DIIENNO, D.C., P.A.
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 424 DOUGLAS AVE
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City | DUNEDIN
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State | FL
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Zip | 34698-7602
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Country | US
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Telephone | 727-734-1901
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Fax | 727-736-4000
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Provider Business Mailing Address
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Address Line | 424 DOUGLAS AVE
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City | DUNEDIN
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State | FL
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Zip | 34698-7602
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Country | US
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Telephone | 727-734-1901
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Fax | 727-736-4000
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES A DIIENNO
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Credential | D.C.
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Telephone | 727-734-1901
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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 |
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License Number State |
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