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General NPI Number Information
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NPI Number | 1255515029
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Entity Type | Organization
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Legal Business Name | ST GERMAIN CHIROPRACTIC,PA
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 877 S ORANGE BLOSSOM TRAIL
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City | APOPKA
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State | FL
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Zip | 32703-6522
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Country | US
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Telephone | 407-889-3223
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Fax | 407-889-7263
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Provider Business Mailing Address
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Address Line | PO BOX 1657
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City | APOPKA
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State | FL
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Zip | 32704-1657
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Country | US
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Telephone | 407-889-3223
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Fax | 407-889-7263
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MS. LESLIE KARI
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Credential |
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Telephone | 407-889-3223
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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 | CH0005913
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License Number State | FL
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