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General NPI Number Information
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NPI Number | 1063619385
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC CENTER FOR WELLNESS INC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 8403 BALM ST
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City | WEEKI WACHEE
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State | FL
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Zip | 34607-4419
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Country | US
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Telephone | 352-240-5936
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Fax | 352-340-5937
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Provider Business Mailing Address
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Address Line | 8403 BALM ST
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City | WEEKI WACHEE
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State | FL
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Zip | 34607-4419
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Country | US
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Telephone | 352-240-5936
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Fax | 352-340-5937
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN K DAHMER
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Credential | DC
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Telephone | 727-862-8571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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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 | CH9001
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License Number State | FL
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