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General NPI Number Information
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NPI Number | 1427405927
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Entity Type | Organization
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Legal Business Name | KAHOOK CHIROPRACTIC AND WELLNESS CENTER INC
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 409 S DIXIE HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-4442
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Country | US
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Telephone | 561-582-5433
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Fax | 561-585-0074
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Provider Business Mailing Address
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Address Line | 1701 MANGO CIR
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City | LAKE CLARKE SHORES
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State | FL
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Zip | 33406-5258
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Country | US
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Telephone | 561-261-4242
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KATRINA KAHOOK
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Credential | D.C.
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Telephone | 561-261-4242
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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 | CH
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License Number State | FL
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