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General NPI Number Information
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NPI Number | 1770689077
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Entity Type | Individual
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Provider Name | ALEXANDER DIMEO RPH. DC
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 647 MAIN AVE STE 202
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City | PASSAIC
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State | NJ
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Zip | 07055-4934
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Country | US
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Telephone | 973-777-5400
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Fax | 973-777-5445
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Provider Business Mailing Address
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Address Line | 29 CROMWELL DR
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City | CHESTER
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State | NJ
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Zip | 07930-2153
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Country | US
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Telephone | 973-670-6897
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Fax | 908-879-2744
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28 RI01498300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00301100
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License Number State | NJ
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