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General NPI Number Information
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NPI Number | 1124305107
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Entity Type | Organization
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Legal Business Name | ATLANTIC CHIROPRACTIC STUDIO
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 800 PALM TRL 210
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5877
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Country | US
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Telephone | 561-272-2228
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Fax | 561-272-2240
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Provider Business Mailing Address
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Address Line | 800 PALM TRL 210
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5877
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Country | US
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Telephone | 561-272-2228
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Fax | 561-272-2240
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JUDITH MARIE- LINDA LABARGE
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Credential | D.C.
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Telephone | 561-768-3327
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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 | CH9825
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License Number State | FL
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