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General NPI Number Information
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NPI Number | 1891868493
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Entity Type | Organization
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Legal Business Name | NUNZIO P. PAGANO CC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 440 WATER ST
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-1333
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Country | US
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Telephone | 304-872-3333
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Fax | 304-872-2723
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Provider Business Mailing Address
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Address Line | 440 WATER ST
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City | SUMMERSVILLE
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State | WV
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Zip | 26651-1333
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Country | US
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Telephone | 304-872-3333
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Fax | 304-872-2723
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Authorized Official
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Title or Position | OWNER
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Name | DR. NUNZIO PAGANO
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Credential | DC
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Telephone | 304-872-3333
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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 | 237
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License Number State | WV
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