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General NPI Number Information
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NPI Number | 1861576613
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Entity Type | Individual
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Provider Name | TINA SACCHETTI D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 879 COMMERCE ST
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City | THORNWOOD
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State | NY
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Zip | 10594-1415
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Country | US
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Telephone | 914-747-9200
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Fax | 914-747-4406
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Provider Business Mailing Address
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Address Line | 879 COMMERCE ST
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City | THORNWOOD
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State | NY
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Zip | 10594-1415
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Country | US
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Telephone | 914-747-9200
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Fax | 914-747-4406
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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 | XOO4751
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License Number State | NY
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