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General NPI Number Information
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NPI Number | 1013779925
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Entity Type | Organization
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Legal Business Name | JACHIMEK WELLNESS CENTER
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 5111 EHRLICH RD
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City | TAMPA
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State | FL
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Zip | 33624-2075
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Country | US
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Telephone | 813-960-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 COACHMAKERS LN
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City | CLEARWATER
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State | FL
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Zip | 33765-1705
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Country | US
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Telephone | 410-456-5326
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIET WORLEY
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Credential | DC
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Telephone | 410-456-5326
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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 |
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License Number State |
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