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General NPI Number Information
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NPI Number | 1497430524
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Entity Type | Organization
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Legal Business Name | CRAI SPINES
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 8400 113TH ST
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City | SEMINOLE
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State | FL
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Zip | 33772-4131
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Country | US
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Telephone | 727-201-4549
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Fax | 866-265-0201
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Provider Business Mailing Address
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Address Line | 8400 113TH ST
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City | SEMINOLE
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State | FL
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Zip | 33772-4131
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Country | US
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Telephone | 727-201-4549
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Fax | 866-265-0201
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Authorized Official
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Title or Position | PRACTICE ADMIN
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Name | COREE HERRINGTON
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Credential |
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Telephone | 727-201-4549
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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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