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NPI Code Detail

MEDICARE: ANTHONY RAYMOND D'AMICO DC

MEDICARE: ANTHONY RAYMOND D'AMICO DC
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
1111N00000XChiropractor05512OH

General Provider Information

NPI Number : 1568223980
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY RAYMOND D'AMICO DC
Provider Business Mailing Address
First Line : 584 OAKWOOD TRL
Second Line :
City : PAINESVILLE
State : OH
Zip : 44077-7620
Country : US
Telephone Number : 724-321-2726
Fax Number :
Provider Business Practice Location Address
First Line : 1610 W 11TH ST
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-2906
Country : US
Telephone Number : 440-536-5475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/05/2026

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