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General NPI Number Information
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NPI Number | 1164441036
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Entity Type | Organization
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Legal Business Name | SCARBOROUGH FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 5534 GULF DR SUITE 3
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4000
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Country | US
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Telephone | 727-863-1407
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Fax |
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Provider Business Mailing Address
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Address Line | 5534 GULF DR SUITE 3
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4000
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Country | US
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Telephone | 727-863-1407
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. RON RICHMOND SCARBOROUGH II
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Credential | D.C.
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Telephone | 828-458-3242
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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 | 9849
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License Number State | FL
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