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General NPI Number Information
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NPI Number | 1306604533
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Entity Type | Organization
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Legal Business Name | TODD CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 231 SAINT JOE PLAZA DR
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City | PALM COAST
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State | FL
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Zip | 32164-3616
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Country | US
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Telephone | 386-977-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 231 SAINT JOE PLAZA DR
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City | PALM COAST
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State | FL
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Zip | 32164-3616
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Country | US
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Telephone | 386-977-9992
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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. EMILY REBECCA TODD
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Credential | D.C.
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Telephone | 470-836-8422
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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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