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General NPI Number Information
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NPI Number | 1952343972
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Entity Type | Individual
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Provider Name | THOMAS FRANK ANTONUCCI DC
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3896 OLD WILLIAM PENN HWY STE 100
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1865
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Country | US
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Telephone | 724-519-8622
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Fax | 724-519-8623
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Provider Business Mailing Address
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Address Line | 200 NOEL DR
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City | MONROEVILLE
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State | PA
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Zip | 15146-1522
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Country | US
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Telephone | 716-481-3458
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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 | 010509-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC009627
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License Number State | PA
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