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General NPI Number Information
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NPI Number | 1891941159
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Entity Type | Individual
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Provider Name | GUY S DIMARTINO D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 6005 SE US HIGHWAY 301 405-A
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City | HAWTHORNE
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State | FL
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Zip | 32640-7316
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Country | US
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Telephone | 352-267-9168
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Fax | 866-887-3026
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Provider Business Mailing Address
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Address Line | 1009 SW 17TH ST
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City | OCALA
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State | FL
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Zip | 34471-1229
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Country | US
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Telephone | 352-351-3413
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Fax | 352-629-6667
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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 | CH9621
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License Number State | FL
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