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General NPI Number Information
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NPI Number | 1831568955
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC TESTING SERVICES
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 520 N DELAWARE AVE SUITE 202
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City | PHILADELPHIA
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State | PA
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Zip | 19123-4226
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Country | US
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Telephone | 215-239-3097
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Fax | 215-239-3098
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Provider Business Mailing Address
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Address Line | PO BOX 33013
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City | TRENTON
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State | NJ
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Zip | 08629-3013
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Country | US
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Telephone | 609-599-3388
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Fax | 215-239-3098
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | GENE ZITA
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Credential | D.C.
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Telephone | 609-599-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC004886L
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License Number State | PA
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