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General NPI Number Information
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NPI Number | 1013273176
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Entity Type | Organization
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Legal Business Name | HEALTH CHIROPRACTIC REHAB & WELLNESS, LLC
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 360 DOUGLAS AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3335
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Country | US
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Telephone | 321-209-9219
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Fax | 321-282-4146
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Provider Business Mailing Address
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Address Line | 3335 MORELYN CREST CIR
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City | ORLANDO
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State | FL
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Zip | 32828-7753
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Country | US
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Telephone | 407-857-7550
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Fax | 321-282-4146
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOHN SHERIDAN MCCARTHY
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Credential | D.C.
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Telephone | 407-857-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CH0005582
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License Number State | FL
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