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General NPI Number Information
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NPI Number | 1013386556
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Entity Type | Individual
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Provider Name | LIZABETH L REDDY DC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 288 E SR 434
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City | LONGWOOD
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State | FL
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Zip | 32750-5274
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Country | US
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Telephone | 407-736-9800
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Fax | 407-736-9898
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Provider Business Mailing Address
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Address Line | 288E STATE ROAD 434
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City | LONGWOOD
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State | FL
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Zip | 32750-5274
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Country | US
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Telephone | 407-636-9800
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Fax | 407-636-9898
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH11210
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License Number State | FL
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