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General NPI Number Information
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NPI Number | 1417415449
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Entity Type | Organization
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Legal Business Name | SERVICE FOR LIFE INC
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Dates
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Enumeration Date | 03/08/2019
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 720 DUNLAWTON AVE STE 200
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City | PORT ORANGE
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State | FL
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Zip | 32127-4901
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Country | US
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Telephone | 386-385-8807
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Fax | 386-888-1983
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Provider Business Mailing Address
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Address Line | 178 REENA DR
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-0009
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Country | US
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Telephone | 386-631-5627
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Fax | 386-888-1983
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CRIST L FRANCISCO
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Credential | DC
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Telephone | 386-385-8807
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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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