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General NPI Number Information
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NPI Number | 1174855407
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Entity Type | Organization
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Legal Business Name | PREFERRED FAMILY CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 628 CAGAN VIEW RD SUITE 3
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City | CLERMONT
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State | FL
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Zip | 34714-6502
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Country | US
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Telephone | 352-536-1300
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Fax | 352-536-1305
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Provider Business Mailing Address
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Address Line | PO BOX 138391
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City | CLERMONT
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State | FL
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Zip | 34713-8391
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Country | US
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Telephone | 352-536-1300
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Fax | 352-536-1305
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ADRIAN WILLIAMS
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Credential | D.C.
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Telephone | 352-536-1300
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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 |
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License Number State |
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