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General NPI Number Information
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NPI Number | 1194270306
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Entity Type | Organization
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Legal Business Name | SCHNEIDER CHIROPRACTIC CLINICS LLC
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 14100 US HIGHWAY 1
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City | JUNO BEACH
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State | FL
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Zip | 33408-1404
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Country | US
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Telephone | 561-626-6711
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Fax | 561-626-6733
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Provider Business Mailing Address
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Address Line | 14100 US HIGHWAY 1
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City | JUNO BEACH
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State | FL
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Zip | 33408-1404
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Country | US
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Telephone | 561-626-6711
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Fax | 561-626-6733
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. GRANT A SCHNEIDER II
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Credential | D.C.
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Telephone | 561-626-6711
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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 | CH11297
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License Number State | FL
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