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General NPI Number Information
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NPI Number | 1467628628
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Entity Type | Organization
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Legal Business Name | PASADENA FAMILY CHIROPRACTIC CENTER INC.
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 6420 CENTRAL AVE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33707-1329
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Country | US
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Telephone | 727-346-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 CENTRAL AVE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33707-1329
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Country | US
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Telephone | 727-346-0911
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTIC PHYSICIAN
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Name | DR. EDWARD WILLIAM FOLEY
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Credential | D.C.
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Telephone | 727-346-0911
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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 | CH7380
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License Number State | FL
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