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General NPI Number Information
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NPI Number | 1013261205
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Entity Type | Organization
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Legal Business Name | NEW LEAF FAMILY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 149 MAIN ST
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City | WINDSOR
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State | NY
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Zip | 13865-4131
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Country | US
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Telephone | 607-655-5500
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Fax | 607-655-1960
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Provider Business Mailing Address
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Address Line | 149 MAIN ST
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City | WINDSOR
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State | NY
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Zip | 13865-4131
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Country | US
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Telephone | 607-655-5500
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Fax | 607-655-1960
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID MICHAEL FLORANCE
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Credential | DC, MSACN
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Telephone | 607-221-8765
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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 | X011772-1
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License Number State | NY
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