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General NPI Number Information
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NPI Number | 1083313548
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Entity Type | Organization
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Legal Business Name | CG CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 525 N PARK AVE STE 120
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City | WINTER PARK
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State | FL
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Zip | 32789-3227
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Country | US
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Telephone | 714-488-2573
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Fax | 346-755-0039
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Provider Business Mailing Address
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Address Line | 525 N PARK AVE STE 120
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City | WINTER PARK
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State | FL
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Zip | 32789-3227
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Country | US
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Telephone | 714-488-2573
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Fax | 346-755-0039
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. CHRISTINE GEORGE
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Credential | DC
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Telephone | 714-488-2573
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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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