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General NPI Number Information
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NPI Number | 1750675294
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Entity Type | Organization
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Legal Business Name | CHIOCE MEDICAL & DIAGNOSITC SERVICES PC
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | 854 BIRCHWOOD RD
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City | MEDFORD
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State | NY
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Zip | 11763-1202
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Country | US
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Telephone | 631-846-4390
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Fax |
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Provider Business Mailing Address
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Address Line | 854 BIRCHWOOD RD
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City | MEDFORD
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State | NY
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Zip | 11763-1202
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Country | US
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Telephone | 631-846-4390
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GARY F DALTO
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Credential | DC
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Telephone | 631-846-4390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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