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General NPI Number Information
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NPI Number | 1093932832
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Entity Type | Individual
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Provider Name | DELLA ELIZABETH FLYNN D.C.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4625 E BAY DR STE 212
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City | CLEARWATER
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State | FL
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Zip | 33764-5738
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Country | US
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Telephone | 727-531-1130
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Fax | 727-531-0679
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Provider Business Mailing Address
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Address Line | 1990 SANDRA DR
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City | CLEARWATER
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State | FL
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Zip | 33764-4772
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Country | US
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Telephone | 941-356-4032
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Fax | 727-812-8809
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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 | CH8177
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License Number State | FL
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