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General NPI Number Information
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NPI Number | 1457768293
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Entity Type | Organization
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Legal Business Name | HEALTHQUEST CHIROPRACTIC INC.
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 11669 COLLIER BLVD
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City | NAPLES
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State | FL
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Zip | 34116-6581
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Country | US
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Telephone | 239-514-4004
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Fax |
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Provider Business Mailing Address
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Address Line | 5440 PARK CENTRAL CT SUITE 2
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City | NAPLES
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State | FL
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Zip | 34109-6003
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Country | US
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Telephone | 239-514-4004
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Fax | 239-514-4044
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | ASHLEY MATHEWS
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Credential |
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Telephone | 239-537-5161
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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 |
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License Number State |
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