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General NPI Number Information
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NPI Number | 1326347816
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Entity Type | Organization
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Legal Business Name | IRVEN CHIROPRACTIC HEALTH CENTER,INC.
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 9030 W FORT ISLAND TRL SUITE # 2
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-2412
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Country | US
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Telephone | 352-795-9111
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Fax | 352-795-0835
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Provider Business Mailing Address
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Address Line | 9030 W FORT ISLAND TRL SUITE # 2
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-2412
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Country | US
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Telephone | 352-795-9111
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Fax | 352-795-0835
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Authorized Official
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Title or Position | INSURANCE
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Name | MS. BARBARA FICARA
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Credential |
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Telephone | 352-795-9111
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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 | CH0006794
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CH0006794
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License Number State | FL
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