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General NPI Number Information
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NPI Number | 1396602637
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Entity Type | Organization
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Legal Business Name | LIV WELL CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2146 S RIVERSIDE DR STE 5
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City | EDGEWATER
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State | FL
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Zip | 32141-4257
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Country | US
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Telephone | 386-222-0210
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Fax |
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Provider Business Mailing Address
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Address Line | 2146 S RIVERSIDE DR STE 5
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City | EDGEWATER
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State | FL
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Zip | 32141-4257
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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. OLIVIA EVANS
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Credential | D.C.
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Telephone | 386-222-0210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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