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General NPI Number Information
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NPI Number | 1538249859
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Entity Type | Organization
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Legal Business Name | SUNSET POINT HEALTHCARE CLINIC LLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2329 SUNSET POINT RD #204
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City | CLEARWATER
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State | FL
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Zip | 33765-1516
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Country | US
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Telephone | 727-799-3319
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Fax | 727-799-8859
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Provider Business Mailing Address
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Address Line | 2329 SUNSET POINT RD STE 204
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City | CLEARWATER
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State | FL
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Zip | 33765-1438
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Country | US
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Telephone | 727-799-3319
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Fax | 727-799-8859
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINCENT E BRYAN
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Credential | D.C.
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Telephone | 727-799-3319
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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 | CH2017
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License Number State | FL
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