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General NPI Number Information
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NPI Number | 1477008514
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Entity Type | Individual
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Provider Name | SEAN GIMBERT D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2 PINE LAKES PKWY N STE 3
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City | PALM COAST
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State | FL
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Zip | 32137-3644
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Country | US
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Telephone | 386-227-7534
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Fax |
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Provider Business Mailing Address
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Address Line | 33 WHEELING LN
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City | PALM COAST
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State | FL
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Zip | 32164-3935
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Country | US
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Telephone | 540-293-8558
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH11914
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License Number State | FL
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