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General NPI Number Information
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NPI Number | 1386427573
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Entity Type | Organization
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Legal Business Name | SOWERS FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 9122 TOWN CENTER PKWY STE 105
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5055
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Country | US
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Telephone | 941-447-3224
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Fax |
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Provider Business Mailing Address
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Address Line | 6210 MEDICI CT APT 104
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City | SARASOTA
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State | FL
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Zip | 34243-2617
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Country | US
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Telephone |
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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. JACOB BENJAMIN SOWERS
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Credential | D.C.
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Telephone | 405-694-3009
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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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