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General NPI Number Information
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NPI Number | 1285153437
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Entity Type | Organization
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Legal Business Name | BACK2NATURE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 13001 FOUNDERS SQUARE DR # 207
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City | ORLANDO
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State | FL
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Zip | 32828-7709
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Country | US
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Telephone | 407-219-4920
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Fax |
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Provider Business Mailing Address
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Address Line | 14040 CHICORA CROSSING BLVD
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City | ORLANDO
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State | FL
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Zip | 32828-7744
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Country | US
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Telephone | 407-219-4920
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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. ADDISON O'DAY
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Credential | D.C.
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Telephone | 313-574-3034
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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 |
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License Number State |
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