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General NPI Number Information
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NPI Number | 1386337236
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Entity Type | Organization
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Legal Business Name | FREEZE PLAY 2 INC.
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Dates
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Enumeration Date | 05/29/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 8855 IMMOKALEE RD UNIT 13
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City | NAPLES
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State | FL
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Zip | 34120-3928
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Country | US
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Telephone | 239-354-7754
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Fax |
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Provider Business Mailing Address
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Address Line | 8855 IMMOKALEE RD UNIT 13
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City | NAPLES
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State | FL
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Zip | 34120-3928
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Country | US
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Telephone | 239-354-7754
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC DOCTOR / OWNER
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Name | JOSEPH MUSA
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Credential | DC
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Telephone | 239-354-7754
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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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