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General NPI Number Information
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NPI Number | 1427256676
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Entity Type | Organization
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Legal Business Name | FRALICKER CHIROPRACTIC CLINIC INC.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 835 CESERY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5605
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Country | US
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Telephone | 904-745-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 835 CESERY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5605
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Country | US
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Telephone | 904-745-1444
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Fax |
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Authorized Official
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Title or Position | DC
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Name | JANN A FRALICKER
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Credential | DC
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Telephone | 904-745-1444
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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 | CH4436
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License Number State | FL
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