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NPI Code Detail

MEDICARE: DAL, INC

MEDICARE: DAL, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4DP9454OTHERMAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1694479OTHERMATUFTS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3Y39666OTHERMABCBS MA

General Provider Information

NPI Number : 1003971961
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAL, INC
Provider Business Mailing Address
First Line : PO BOX 563
Second Line :
City : HYANNIS PORT
State : MA
Zip : 02647-0563
Country : US
Telephone Number : 508-790-0606
Fax Number : 508-790-0808
Provider Business Practice Location Address
First Line : 677 W MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3493
Country : US
Telephone Number : 508-790-0606
Fax Number : 508-790-0808
Authorized Official
Title or Position : OWNER
Name : DEBORAH LEVEEN
Credential : DC
Telephone Number : 508-790-0606
Provider Enumeration Date : 12/22/2006
Last Update Date : 06/19/2015

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Directions to “DAL, INC ” Practice Location

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