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General NPI Number Information
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NPI Number | 1023496189
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Entity Type | Organization
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Legal Business Name | RAILING CHIROPRACTIC & ACUPUNCTURE
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Dates
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Enumeration Date | 05/09/2015
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 13241 BARTRAM PARK BLVD 509
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City | JACKSONVILLE
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State | FL
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Zip | 32258-5212
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Country | US
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Telephone | 386-882-2056
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Fax |
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Provider Business Mailing Address
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Address Line | 13241 BARTRAM PARK BLVD 509
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City | JACKSONVILLE
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State | FL
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Zip | 32258-5212
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Country | US
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Telephone | 386-882-2056
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Fax |
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Authorized Official
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Title or Position | CEO/ CHIROPRACTOR
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Name | DR. CHRISTOPHER ADAM RAILING
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Credential | D.C.
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Telephone | 386-882-2056
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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 | CH10565
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License Number State | FL
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