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General NPI Number Information
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NPI Number | 1295629574
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Entity Type | Organization
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Legal Business Name | RISE UP CHIROPRACTIC INC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 260 LOOKOUT PL STE 107
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City | MAITLAND
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State | FL
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Zip | 32751-4485
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Country | US
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Telephone | 321-352-5374
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Fax |
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Provider Business Mailing Address
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Address Line | 811 HIGHLAND DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5711
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Country | US
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Telephone | 407-314-2471
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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. MATTHEW ROBERTS
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Credential | DC
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Telephone | 407-314-2471
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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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