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General NPI Number Information
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NPI Number | 1285046458
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Entity Type | Organization
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Legal Business Name | FARMER FAMILY CHIROPRACTIC AND WELLNESS, P.A.
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 532 CANAL STREET
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168
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Country | US
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Telephone | 386-314-3688
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Fax |
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Provider Business Mailing Address
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Address Line | 209 RANKEN DR
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City | EDGEWATER
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State | FL
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Zip | 32141-7502
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Country | US
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Telephone | 386-314-3688
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NANCY FARMER
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Credential |
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Telephone | 386-314-3688
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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 | CH11193
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License Number State | FL
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