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General NPI Number Information
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NPI Number | 1669777645
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Entity Type | Organization
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Legal Business Name | AMANDA V. PILEGGI, D.C., P.A.
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | 2141 PINE TER
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City | SARASOTA
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State | FL
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Zip | 34231-4429
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Country | US
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Telephone | 941-223-8528
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15742
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City | SARASOTA
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State | FL
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Zip | 34277-1742
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMANDA V. PILEGGI
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Credential |
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Telephone | 941-223-8528
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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 | CH 9970
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License Number State | FL
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