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General NPI Number Information
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NPI Number | 1033243357
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Entity Type | Organization
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Legal Business Name | FLORIDA CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 6029 E HIGHWAY 98
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City | PANAMA CITY
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State | FL
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Zip | 32404-7488
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Country | US
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Telephone | 850-784-6075
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Fax | 850-784-9422
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Provider Business Mailing Address
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Address Line | 6029 E HIGHWAY 98
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City | PANAMA CITY
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State | FL
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Zip | 32404-7488
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Country | US
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Telephone | 850-784-6075
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Fax | 850-784-9422
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. ISA K BELION
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Credential | BS,DC
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Telephone | 850-784-6075
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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 | CH7502
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License Number State | FL
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