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General NPI Number Information
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NPI Number | 1447585682
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Entity Type | Organization
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Legal Business Name | ATLANTIC HEALTH SOLUTIONS, INC
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Dates
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Enumeration Date | 10/06/2009
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 840 DUNLAWTON AVE STE B
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City | PORT ORANGE
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State | FL
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Zip | 32127-4224
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Country | US
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Telephone | 386-527-8003
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Fax | 386-492-4887
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Provider Business Mailing Address
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Address Line | 840 DUNLAWTON AVE STE B
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City | PORT ORANGE
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State | FL
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Zip | 32127-4224
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Country | US
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Telephone | 386-527-8003
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Fax | 386-492-4887
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP A AFGHANI
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Credential | DC
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Telephone | 386-527-8003
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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 | CH9601
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License Number State | FL
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