# HOPE CHIROPRACTIC CENTRE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154457869
- **Authorized official:** DR. RUSSELL DAVID BROCCOLI D.C. (PRESIDENT)
- **Authorized official phone:** (401) 351-6390

## Contact information

- **Practice address:** 635 HOPE ST, PROVIDENCE, RI 02906-2652
- **Practice address phone:** (401) 351-6390
- **Practice address fax:** (401) 331-0614
- **Mailing address:** 635 HOPE ST, PROVIDENCE, RI 02906-2652
- **Mailing address phone:** (401) 351-6390
- **Mailing address fax:** (401) 331-0614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DCP00204 | RI | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 10/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1689740607 | INDIVIDUAL NPI NUMBER | RI |
| 01 | — | 9047-6 | BLUE CROSS BLUE SHIELD RI | RI |