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General NPI Number Information
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NPI Number | 1417200205
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Entity Type | Organization
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Legal Business Name | HEALTHWORKS, LLC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 4985 HOFFNER AVE SUITE 2
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City | ORLANDO
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State | FL
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Zip | 32812-2340
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Country | US
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Telephone | 407-859-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 4985 HOFFNER AVE STE 2
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City | ORLANDO
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State | FL
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Zip | 32812-2340
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Country | US
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Telephone | 407-859-1880
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Fax | 407-563-2197
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN/OWNER
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Name | DR. REGINA L. BAYLA
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Credential | DC
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Telephone | 407-859-1880
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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 | 10003
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License Number State | FL
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