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General NPI Number Information
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NPI Number | 1083662993
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Entity Type | Individual
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Provider Name | JOANIELEE KRIZ D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 2203 GARDEN STREET
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City | TITUSVILLE
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State | FL
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Zip | 32796
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Country | US
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Telephone | 321-269-1999
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Fax | 321-264-2440
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Provider Business Mailing Address
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Address Line | 5606 RIVER OAKS DRIVE
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City | TITUSVILLE
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State | FL
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Zip | 32780
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Country | US
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Telephone | 321-268-1999
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Fax | 321-264-2440
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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 | CH8422
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License Number State | FL
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