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General NPI Number Information
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NPI Number | 1093194458
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Entity Type | Organization
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Legal Business Name | AMY C. MCCONNELL
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 2937 BEE RIDGE RD STE 7
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City | SARASOTA
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State | FL
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Zip | 34239-7119
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Country | US
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Telephone | 941-312-6200
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Fax | 941-312-6800
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Provider Business Mailing Address
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Address Line | 2937 BEE RIDGE RD STE 7
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City | SARASOTA
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State | FL
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Zip | 34239-7119
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Country | US
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Telephone | 941-312-6200
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Fax | 941-312-6800
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. AMY CATHERINE MCCONNELL
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Credential | D.C.
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Telephone | 941-312-6200
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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 | CH8082
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License Number State | FL
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