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General NPI Number Information
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NPI Number | 1134309081
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTH MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 41720 HORSESHOE RD
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City | PUNTA GORDA
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State | FL
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Zip | 33982-7767
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Country | US
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Telephone | 239-898-7666
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Fax |
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Provider Business Mailing Address
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Address Line | 41720 HORSESHOE RD
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City | PUNTA GORDA
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State | FL
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Zip | 33982-7767
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Country | US
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Telephone | 239-898-7666
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Fax |
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Authorized Official
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Title or Position | DR. JOAN CRAFT / OWNER
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Name | DR. JOAN M CRAFT
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Credential | D.C.
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Telephone | 239-898-7666
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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 | CH0005373
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License Number State | FL
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