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General NPI Number Information
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NPI Number | 1902909286
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Entity Type | Individual
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Provider Name | ANTHONY PETER LAMANNA JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 08/02/2007
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Provider Practice Location Address
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Address Line | 4646 E GREENWAY RD SUITE 104
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City | PHOENIX
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State | AZ
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Zip | 85032-4805
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Country | US
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Telephone | 602-494-0717
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Fax | 602-424-7778
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Provider Business Mailing Address
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Address Line | 4219 E PALO BREA LN
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City | CAVE CREEK
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State | AZ
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Zip | 85331-3864
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Country | US
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Telephone | 602-494-0717
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Fax | 602-424-7778
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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 | 5744
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License Number State | AZ
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