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General NPI Number Information
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NPI Number | 1295230589
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Entity Type | Organization
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Legal Business Name | PREISS CHIROPRACTIC & ACUPUNCTURE CENTER II, INC.
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 19050 SAN CARLOS BLVD
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City | FORT MYERS BEACH
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State | FL
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Zip | 33931-2219
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Country | US
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Telephone | 239-765-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 19050 SAN CARLOS BLVD
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City | FORT MYERS BEACH
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State | FL
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Zip | 33931-2219
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID CRAIG PREISS
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Credential | DC
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Telephone | 239-765-0690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 4048
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License Number State | FL
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