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General NPI Number Information
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NPI Number | 1770628695
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Entity Type | Organization
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Legal Business Name | D'AMATO CHIROPRACTIC CLINIC INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 841 SOUTHWESTERN RUN SUITE 2
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-3688
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Country | US
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Telephone | 330-629-9292
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Fax | 330-629-9339
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Provider Business Mailing Address
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Address Line | 841 SOUTHWESTERN RUN SUITE 2
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City | POLAND
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State | OH
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Zip | 44514-3671
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Country | US
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Telephone | 330-629-9292
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Fax | 330-629-9339
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADRIAN A D'AMATO
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Credential | D.C.
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Telephone | 330-629-9292
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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 | 879
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License Number State | OH
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