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General NPI Number Information
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NPI Number | 1932205341
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Entity Type | Organization
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Legal Business Name | JOHN J. COLLETTI, D.C.P.C.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 123 ROCKDALE AVE
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City | NEW BEDFORD
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State | MA
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Zip | 02740-1079
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Country | US
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Telephone | 508-993-3446
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Fax | 508-992-7642
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Provider Business Mailing Address
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Address Line | 123 ROCKDALE AVE
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City | NEW BEDFORD
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State | MA
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Zip | 02740-1079
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Country | US
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Telephone | 508-993-3446
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Fax | 508-992-7642
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN COLLETTI
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Credential | D.C, P.C.
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Telephone | 508-993-3446
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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 | 277
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License Number State | MA
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