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General NPI Number Information
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NPI Number | 1376332601
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Entity Type | Organization
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Legal Business Name | ELITE CHIROCARE AND INJURY RECOVERY PLLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 3637 4TH ST N STE 290
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-1300
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Country | US
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Telephone | 716-491-0551
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Fax |
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Provider Business Mailing Address
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Address Line | 4126 8TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-6328
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Country | US
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Telephone | 716-491-0551
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. FOUAD RAAD
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Credential | DC
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Telephone | 716-491-0551
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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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