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General NPI Number Information
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NPI Number | 1386595692
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Entity Type | Organization
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Legal Business Name | CHIROGEN-X
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1025 W NEW YORK AVE
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City | DELAND
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State | FL
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Zip | 32720-5184
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Country | US
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Telephone | 386-880-8137
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Fax |
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Provider Business Mailing Address
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Address Line | 708 E RICH AVE
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City | DELAND
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State | FL
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Zip | 32724-4555
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Country | US
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Telephone | 407-655-5030
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Fax | 407-655-5030
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | ALLY ELIAS
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Credential | DC
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Telephone | 386-880-8137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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