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General NPI Number Information
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NPI Number | 1790891836
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Entity Type | Individual
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Provider Name | JOSEPH ANTHONY LOVERRO D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | OWEGO CHIROPRACTIC, P.C. 115 TEMPLE STREET
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City | OWEGO
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State | NY
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Zip | 13827
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Country | US
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Telephone | 607-687-3800
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Fax | 607-687-6607
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Provider Business Mailing Address
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Address Line | 305 WAITE ROAD
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City | NICHOLS
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State | NY
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Zip | 13812
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Country | US
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Telephone | 607-699-7459
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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 | X003968-1
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License Number State | NY
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