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General NPI Number Information
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NPI Number | 1811046030
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Entity Type | Individual
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Provider Name | LINDA DIMAURO WELLS DC DOCTOR OF CHIROPR
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 251 PARK AVENUE
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City | PARK RIDGE
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State | NJ
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Zip | 07656-2405
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Country | US
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Telephone | 201-307-0557
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Fax | 201-307-0814
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Provider Business Mailing Address
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Address Line | 251 PARK AVENUE LINDA DIMAURO WELLS DC
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City | PARK RIDGE
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State | NJ
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Zip | 07656-2405
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Country | US
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Telephone | 201-307-0557
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Fax | 201-307-0814
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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 | 38MC00205600
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License Number State | NJ
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