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General NPI Number Information
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NPI Number | 1013157692
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Entity Type | Organization
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Legal Business Name | LADIES FIRST CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 1054 GATEWAY BOULEVARD SUITE 110
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City | BOYNTON BEACH
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State | FL
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Zip | 33426
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Country | US
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Telephone | 407-913-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 6467 BARTON CREEK CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-6548
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Country | US
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Telephone | 407-913-0001
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER STEVENS DRAPP
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Credential | D.C.
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Telephone | 407-913-0001
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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 | CH8410
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License Number State | FL
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