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General NPI Number Information
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NPI Number | 1427230549
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Entity Type | Organization
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Legal Business Name | NECK & BACK CARE CENTER INC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 912 NE 5TH ST HWY 44
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4444
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Country | US
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Telephone | 352-563-5055
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Fax | 352-563-5069
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Provider Business Mailing Address
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Address Line | 912 NE 5TH ST HWY 44
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4444
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Country | US
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Telephone | 352-563-5055
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Fax | 352-563-5069
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY B. OLIVERIO
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Credential | D.C.
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Telephone | 352-563-5055
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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 | CH0007559
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License Number State | FL
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