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General NPI Number Information
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NPI Number | 1306248877
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Entity Type | Organization
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Legal Business Name | IN TOUCH CHIROPRACTIC AND WELLNESS CENTER INC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 201 CESSNA BLVD SUTIE 4
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City | PORT ORANGE
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State | FL
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Zip | 32128-6856
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Country | US
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Telephone | 386-453-3506
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Fax |
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Provider Business Mailing Address
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Address Line | 201 CESSNA BLVD SUTIE 4
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City | PORT ORANGE
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State | FL
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Zip | 32128-7382
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Country | US
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Telephone | 386-453-3506
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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. JANELLE RANASINGHA
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Credential | D.C.
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Telephone | 386-453-3506
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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 | CH11295
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License Number State | FL
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