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General NPI Number Information
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NPI Number | 1962571851
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Entity Type | Individual
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Provider Name | MICHELE R. LANCELLOTTI D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 197 TAUNTON AVE SUITE 201
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-4540
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Country | US
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Telephone | 401-435-4999
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Fax | 401-434-7772
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Provider Business Mailing Address
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Address Line | 1524 ATWOOD AVE STE 210A
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City | JOHNSTON
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State | RI
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Zip | 02919-3228
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Country | US
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Telephone | 401-435-4999
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Fax | 401-434-7772
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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 | DCP00290
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License Number State | RI
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