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General NPI Number Information
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NPI Number | 1861685943
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Entity Type | Organization
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Legal Business Name | DR. PETER D. SCHIOPPO, LLC
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 04/22/2009
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Provider Practice Location Address
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Address Line | 633 ORANGE ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-3824
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Country | US
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Telephone | 203-562-4051
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Fax | 203-865-7567
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Provider Business Mailing Address
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Address Line | 633 ORANGE ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-3824
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Country | US
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Telephone | 203-562-4051
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Fax | 203-865-7567
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Authorized Official
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Title or Position | OFFICE MGER
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Name | ELIZABETH A.P. SCHIOPPO
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Credential |
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Telephone | 203-562-4051
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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 | 6731103-000
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License Number State | CT
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