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General NPI Number Information
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NPI Number | 1487979746
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Entity Type | Organization
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Legal Business Name | HEALTH CHOICE ME PLLC
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 6020 SR 70 E SUITE 103
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City | BRADENTON
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State | FL
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Zip | 34203-9707
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Country | US
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Telephone | 941-755-9355
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Fax | 941-755-9313
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Provider Business Mailing Address
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Address Line | 6020 SR 70 E SUITE 103
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City | BRADENTON
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State | FL
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Zip | 34203-9707
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Country | US
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Telephone | 941-755-9355
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Fax | 941-755-9313
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. MARK C LEWIS
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Credential | DC
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Telephone | 941-755-9355
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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 | CH 9288
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License Number State | FL
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