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General NPI Number Information
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NPI Number | 1275845042
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Entity Type | Organization
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Legal Business Name | CHIROPRACTICARE OF COLLIER PLLC
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 11725 COLLIER BLVD STE A
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City | NAPLES
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State | FL
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Zip | 34116-6524
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Country | US
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Telephone | 239-384-9527
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Fax |
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Provider Business Mailing Address
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Address Line | 11725 COLLIER BLVD STE A
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City | NAPLES
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State | FL
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Zip | 34116-6524
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Country | US
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Telephone | 239-384-9527
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOMSKY MITCHELL
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Credential | DC
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Telephone | 239-384-9527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | MM24506
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License Number State | FL
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