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General NPI Number Information
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NPI Number | 1164676110
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Entity Type | Individual
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Provider Name | DAWN NATALIE BELOF-GANTER D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 641 W LUMSDEN RD
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City | BRANDON
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State | FL
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Zip | 33511-5911
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Country | US
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Telephone | 813-654-5413
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Fax |
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Provider Business Mailing Address
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Address Line | 15536 GANNETGLADE LN
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City | LITHIA
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State | FL
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Zip | 33547-3897
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Country | US
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Telephone | 813-230-3735
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH8190
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License Number State | FL
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