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General NPI Number Information
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NPI Number | 1447386677
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Entity Type | Organization
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Legal Business Name | HAVRO INC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 10/27/2007
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Provider Practice Location Address
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Address Line | 3126 53RD AVE. E. SR70
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City | BRADENTON
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State | FL
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Zip | 34203-4311
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Country | US
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Telephone | 941-752-3352
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Fax |
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Provider Business Mailing Address
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Address Line | 3126 53RD AVE. E. SR70
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City | BRADENTON
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State | FL
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Zip | 34203-4311
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Country | US
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Telephone | 941-752-3352
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Fax |
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Authorized Official
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Title or Position | VICE PRES
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Name | DR. RICHARD D ROGAN
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Credential | D.C.
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Telephone | 330-717-6339
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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 | 2664
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 9114
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2571
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 9178
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License Number State | FL
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