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General NPI Number Information
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NPI Number | 1497527055
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Entity Type | Organization
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Legal Business Name | HEALTHY FAMILY CHIROPRACTIC CLINIC L L C
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 5200 BABCOCK ST NE
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City | PALM BAY
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State | FL
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Zip | 32905-4612
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Country | US
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Telephone | 321-328-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 BABCOCK ST NE STE 400A
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City | PALM BAY
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State | FL
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Zip | 32905-4612
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Country | US
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Telephone | 321-328-0086
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETHE RUEDE
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Credential | DC
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Telephone | 321-328-0086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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