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General NPI Number Information
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NPI Number | 1477768166
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Entity Type | Organization
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Legal Business Name | JULINGTON CREEK CHIROPRACTIC & WELLNESS CENTER PA
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 465 STATE ROAD 13 SUITE 11
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City | JACKSONVILLE
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State | FL
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Zip | 32259-2989
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Country | US
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Telephone | 904-230-0080
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Fax | 904-230-1040
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Provider Business Mailing Address
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Address Line | 1820 STATE ROAD 13 N STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32259-8855
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Country | US
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Telephone | 904-230-0080
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Fax | 904-230-1040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS FREDERICK LAHMANN
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Credential | DC
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Telephone | 904-230-0080
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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 | CH7904
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License Number State | FL
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