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General NPI Number Information
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NPI Number | 1396811022
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Entity Type | Organization
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Legal Business Name | FRENCH CHIROPRACTIC CENTER PA
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 27970 CROWN LAKE BLVD SUITE #1
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City | BONITA SPRINGS
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State | FL
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Zip | 34135
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Country | US
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Telephone | 239-947-3330
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Fax | 239-947-9493
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Provider Business Mailing Address
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Address Line | 27970 CROWN LAKE BLVD SUITE #1
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City | BONITA SPRINGS
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State | FL
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Zip | 34135
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Country | US
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Telephone | 239-947-3330
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Fax | 239-947-9493
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH G FRENCH
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Credential | DC
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Telephone | 239-947-3330
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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 | CH00007462
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License Number State | FL
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