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General NPI Number Information
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NPI Number | 1053658054
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Entity Type | Organization
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Legal Business Name | COX CHIROPRACTIC PL
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1023 A1A BEACH BLVD
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City | ST AUGUSTINE
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State | FL
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Zip | 32080-6724
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Country | US
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Telephone | 904-460-0282
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Fax |
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Provider Business Mailing Address
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Address Line | 305 CHESHAM ST
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City | ORMOND BEACH
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State | FL
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Zip | 32174-0691
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN G COX
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Credential | DC
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Telephone | 386-341-6438
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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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