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General NPI Number Information
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NPI Number | 1518666395
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Entity Type | Organization
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Legal Business Name | CHIRO & STRETCH, LLC
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 19970 S TAMIAMI TRAIL #112
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City | ESTERO
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State | FL
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Zip | 33928
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Country | US
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Telephone | 239-977-5353
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Fax | 866-397-3478
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Provider Business Mailing Address
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Address Line | 19451 S TAMIAMI TRL STE 12 # 1106
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City | FT MYERS
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State | FL
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Zip | 33908
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Country | US
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Telephone |
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Fax | 866-397-3478
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. JOSH KNOTTS
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Credential | DC
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Telephone | 239-977-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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