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General NPI Number Information
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NPI Number | 1053951616
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Entity Type | Individual
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Provider Name | KANE AUSTIN PRICE DC
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Gender | Male
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 369 COLONY BLVD
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City | THE VILLAGES
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State | FL
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Zip | 32162-6083
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Country | US
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Telephone | 352-462-0445
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Fax |
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Provider Business Mailing Address
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Address Line | 319 LAKEFRONT CT
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City | EUSTIS
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State | FL
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Zip | 32726-7904
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Country | US
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Telephone | 215-589-5496
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH13026
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License Number State | FL
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