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General NPI Number Information
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NPI Number | 1104565092
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Entity Type | Organization
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Legal Business Name | DAVID AUSTIN CALE ELKIN LLC
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 11621 S CLEVELAND AVE STE 80
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City | FORT MYERS
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State | FL
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Zip | 33907-2866
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Country | US
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Telephone | 519-717-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 11621 S CLEVELAND AVE STE 80
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City | FORT MYERS
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State | FL
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Zip | 33907-2866
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Country | US
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Telephone | 519-717-4510
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Fax |
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Authorized Official
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Title or Position | AO/PROVIDER/OWNER
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Name | DR. DAVID AUSTIN CALE ELKIN
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Credential | DC
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Telephone | 239-710-6653
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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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