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General NPI Number Information
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NPI Number | 1003246901
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Entity Type | Organization
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Legal Business Name | TOTAL CHIROPRACTIC & FAMILY WELLNESS
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 20423 STATE ROAD 7 STE F6-482
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City | BOCA RATON
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State | FL
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Zip | 33498-6797
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Country | US
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Telephone | 954-562-1316
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Fax |
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Provider Business Mailing Address
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Address Line | 20423 STATE ROAD 7 STE F6-482
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City | BOCA RATON
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State | FL
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Zip | 33498-6797
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Country | US
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Telephone | 954-562-1316
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | SHANNON TUREK
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Credential | D.C.
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Telephone | 954-562-1316
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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 | CH 11043
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License Number State | FL
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