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General NPI Number Information
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NPI Number | 1023563343
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Entity Type | Organization
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Legal Business Name | THE MOVEMENT CHIROPRACTIC & PHYSICAL MEDICINE
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 1340 TUSKAWILLA RD STE 112
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5030
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Country | US
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Telephone | 704-695-4800
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Fax | 704-695-7887
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Provider Business Mailing Address
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Address Line | 1340 TUSKAWILLA RD STE 112
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5030
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Country | US
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Telephone | 704-695-4800
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Fax | 704-695-7887
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Authorized Official
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Title or Position | CO-OWNER AND DOCTOR
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Name | DR. GARET SCOTT DAVIS
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Credential | D.C.
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Telephone | 760-983-9978
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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 | CH11913
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11906
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License Number State | FL
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