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General NPI Number Information
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NPI Number | 1366625824
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Entity Type | Organization
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Legal Business Name | PERFORMANCE HEALTH & CHIROPRACTIC INC.
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 1807 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34994-7204
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Country | US
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Telephone | 772-286-6260
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Fax | 772-286-6912
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Provider Business Mailing Address
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Address Line | 1807 S KANNER HWY
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City | STUART
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State | FL
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Zip | 34994-7204
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Country | US
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Telephone | 772-286-6260
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Fax | 772-286-6912
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Authorized Official
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Title or Position | PRRESIDENT
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Name | DR. FRANK V. GIAMPIETRO JR.
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Credential | D.C.
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Telephone | 772-286-6260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | CH5633
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License Number State | FL
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