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General NPI Number Information
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NPI Number | 1508730284
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Entity Type | Organization
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Legal Business Name | BLUE OCEAN FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1460 MERIDEN WATERBURY RD STE 7
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City | PLANTSVILLE
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State | CT
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Zip | 06479-2021
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Country | US
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Telephone | 860-863-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 MERIDEN WATERBURY RD STE 7
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City | PLANTSVILLE
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State | CT
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Zip | 06479-2021
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Country | US
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Telephone | 860-863-4100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGHAN MCNICHOLAS-LEGGETT
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Credential | DC
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Telephone | 860-863-4100
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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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