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General NPI Number Information
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NPI Number | 1770524159
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Entity Type | Individual
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Provider Name | RALPH DICURCIO D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 253 ROUTE 211 E
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City | MIDDLETOWN
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State | NY
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Zip | 10940-3107
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Country | US
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Telephone | 845-956-1313
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Fax | 845-956-1314
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Provider Business Mailing Address
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Address Line | 3548 ROUTE 94
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City | CHESTER
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State | NY
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Zip | 10918-1147
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Country | US
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Telephone | 845-649-6637
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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 | X008290
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License Number State | NY
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