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General NPI Number Information
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NPI Number | 1184089435
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Entity Type | Organization
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Legal Business Name | WELLNESS CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 1018 SUNSET TRL
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City | BABSON PARK
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State | FL
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Zip | 33827-9633
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Country | US
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Telephone | 863-638-4000
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Fax | 888-339-6697
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Provider Business Mailing Address
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Address Line | 1018 SUNSET TRL
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City | BABSON PARK
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State | FL
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Zip | 33827-9633
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Country | US
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Telephone | 863-638-4000
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Fax | 888-339-6697
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Authorized Official
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Title or Position | OWNER
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Name | DR. LYN I JONES
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Credential | DC
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Telephone | 863-638-4000
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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 | CH 7015
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License Number State | FL
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