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General NPI Number Information
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NPI Number | 1891306676
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Entity Type | Organization
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Legal Business Name | JOHN A. PIRRITANO, PORTOFINO CHIROPRACTIC
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 601 N AVALON BLVD STE A
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City | WILMINGTON
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State | CA
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Zip | 90744-5871
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Country | US
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Telephone | 310-418-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 601 N AVALON BLVD STE A
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City | WILMINGTON
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State | CA
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Zip | 90744-5871
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Country | US
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Telephone | 424-703-5799
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Fax | 310-861-5920
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN A PIRRITANO
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Credential | DC
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Telephone | 424-703-5799
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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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