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General NPI Number Information
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NPI Number | 1760973283
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Entity Type | Individual
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Provider Name | JAMIE LYN SACCO DC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 140 E STATE ST
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City | DOYLESTOWN
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State | PA
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Zip | 18901-4313
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Country | US
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Telephone | 215-692-2438
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Fax |
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Provider Business Mailing Address
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Address Line | 6 RED FOX TRL
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City | WARREN
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State | NJ
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Zip | 07059-6834
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Country | US
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Telephone | 201-560-2455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DC011378
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License Number State | PA
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