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General NPI Number Information
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NPI Number | 1144506882
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Entity Type | Organization
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Legal Business Name | WORLD CLASS HEALTH CENTER INC
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 23900 STATE ROAD 54 STE 101
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City | LUTZ
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State | FL
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Zip | 33559-6792
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Country | US
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Telephone | 813-973-8883
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Fax | 813-762-1413
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Provider Business Mailing Address
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Address Line | 23900 STATE ROAD 54 STE 101
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City | LUTZ
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State | FL
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Zip | 33559-6792
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Country | US
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Telephone | 813-973-8883
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Fax | 813-762-1413
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS W. MYERS
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Credential | DC, ATC
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Telephone | 813-973-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CH9195
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License Number State | FL
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