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General NPI Number Information
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NPI Number | 1093110660
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Entity Type | Organization
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Legal Business Name | 22 HEALTH GROUP, LLC
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Dates
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Enumeration Date | 10/25/2014
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 12301 LAKE UNDERHILL RD SUITE 254
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City | ORLANDO
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State | FL
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Zip | 32828-4508
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Country | US
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Telephone | 407-270-6601
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Fax | 407-270-6602
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Provider Business Mailing Address
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Address Line | 1052 WEST SR 436 SUITE 1070
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714
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Country | US
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Telephone | 407-951-8921
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Fax | 407-951-8926
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | CHRISTOPHER USINA
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Credential | D.C.
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Telephone | 407-270-6601
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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 | CH7224
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License Number State | FL
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