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General NPI Number Information
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NPI Number | 1194256388
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Entity Type | Organization
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Legal Business Name | GEORGE FORSTER DBA ZEPHYRHILLS CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 03/21/2017
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Provider Practice Location Address
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Address Line | 37310 STATE ROAD 54
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-6959
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Country | US
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Telephone | 813-782-9564
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Fax | 813-783-8513
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Provider Business Mailing Address
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Address Line | 37310 STATE ROAD 54
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-6959
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Country | US
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Telephone | 813-782-9564
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Fax | 813-783-8513
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE A. FORSTER
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Credential | D.C.
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Telephone | 813-782-9564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | CH0003767
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License Number State | FL
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