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General NPI Number Information
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NPI Number | 1720353303
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Entity Type | Organization
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Legal Business Name | DR JOSEPH CARACCILO DC PC
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 52 E 11TH ST # GF
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City | NEW YORK
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State | NY
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Zip | 10003-6001
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Country | US
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Telephone | 917-696-1249
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Fax |
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Provider Business Mailing Address
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Address Line | 52 E 11TH ST # GF
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City | NEW YORK
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State | NY
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Zip | 10003-6001
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Country | US
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Telephone | 347-509-5907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH CARACCILO
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Credential | DC
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Telephone | 349-509-5907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | X006374-1
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License Number State | NY
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