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General NPI Number Information
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NPI Number | 1912565110
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Entity Type | Organization
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Legal Business Name | DR VIRGINIA A FATATO DC PA
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 9768 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4004
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Country | US
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Telephone | 754-444-7060
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Fax | 754-229-8712
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Provider Business Mailing Address
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Address Line | 9768 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4004
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Country | US
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Telephone | 754-444-7060
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Fax | 754-229-8712
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIRGINIA A FATATO
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Credential | DC
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Telephone | 754-444-7060
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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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