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General NPI Number Information
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NPI Number | 1821659210
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Entity Type | Individual
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Provider Name | JOSHUA R LANCELLOTTI DC
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Gender | Male
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 1524 ATWOOD AVE STE 210A
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City | JOHNSTON
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State | RI
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Zip | 02919-3228
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Country | US
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Telephone | 401-274-9355
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Fax | 401-455-0290
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Provider Business Mailing Address
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Address Line | 1524 ATWOOD AVE STE 210A
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City | JOHNSTON
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State | RI
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Zip | 02919-3228
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Country | US
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Telephone | 401-455-0291
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Fax | 401-455-0294
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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 | DCP00671
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License Number State | RI
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