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General NPI Number Information
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NPI Number | 1881156305
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Entity Type | Organization
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Legal Business Name | BENEDETTI CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 15B LOUDOUN ST SW
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City | LEESBURG
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State | VA
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Zip | 20175-2908
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Country | US
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Telephone | 740-275-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 BROWNSVILLE RD APT 1
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City | PITTSBURGH
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State | PA
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Zip | 15236-2938
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. LANDON C BENEDETTI
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Credential | DC
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Telephone | 740-275-2110
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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 |
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License Number State |
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