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General NPI Number Information
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NPI Number | 1972749166
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Entity Type | Organization
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Legal Business Name | TOUCH STONE CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 330 SEGUINE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3941
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Country | US
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Telephone | 718-356-9222
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Fax | 718-605-4729
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Provider Business Mailing Address
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Address Line | 330 SEGUINE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3941
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Country | US
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Telephone | 718-356-9222
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Fax | 718-605-4729
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ANGELO DIMAGGIO
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Credential | D.C.
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Telephone | 718-356-9222
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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 | X009078
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License Number State | NY
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