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General NPI Number Information
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NPI Number | 1922953637
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Entity Type | Individual
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Provider Name | RAFFAELE LAURETTA DC
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Gender | Male
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 441 NORTH AVE
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City | DUNELLEN
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State | NJ
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Zip | 08812-1271
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Country | US
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Telephone | 732-210-0794
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Fax |
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Provider Business Mailing Address
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Address Line | 23 DAHLIA DR
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City | WARREN
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State | NJ
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Zip | 07059-3800
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Country | US
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Telephone |
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Fax |
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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 | 38MC00818000
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License Number State | NJ
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