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General NPI Number Information
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NPI Number | 1184954026
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC FINTESS CENTERS FLORIDA
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Dates
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Enumeration Date | 12/27/2009
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Last Update Date | 12/27/2009
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Provider Practice Location Address
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Address Line | 9550 BAYMEADOWS RD STE 18
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0749
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Country | US
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Telephone | 904-854-9353
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Fax | 904-212-2727
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Provider Business Mailing Address
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Address Line | 9550 BAYMEADOWS RD STE 18
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0749
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Country | US
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Telephone | 904-854-9353
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Fax | 904-212-2727
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Authorized Official
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Title or Position | OWNER
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Name | DR. SEBASTIAN CASTELLI
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Credential | D.C.
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Telephone | 561-676-1442
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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 | CH8785
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License Number State | FL
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