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General NPI Number Information
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NPI Number | 1942692082
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Entity Type | Organization
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Legal Business Name | RICHARD SAMPERISI DC PA
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 1000 WEST AVE #220
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City | MIAMI BEACH
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State | FL
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Zip | 33139-4759
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Country | US
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Telephone | 631-338-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 WEST AVENUE #220
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City | MIAMI BEACH
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State | FL
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Zip | 33139
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Country | US
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Telephone | 631-338-2273
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD J SAMPERISI
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Credential | DC
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Telephone | 631-338-2273
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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 | CH10383
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License Number State | FL
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