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General NPI Number Information
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NPI Number | 1568767036
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Entity Type | Organization
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Legal Business Name | FIELD CLINIC OF CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 1001 SW 2ND AVE SUITE 1000
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City | BOCA RATON
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State | FL
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Zip | 33432-7245
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Country | US
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Telephone | 561-368-0009
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Fax | 561-368-0833
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Provider Business Mailing Address
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Address Line | 1001 SW 2ND AVE SUITE 1000
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City | BOCA RATON
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State | FL
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Zip | 33432-7245
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Country | US
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Telephone | 561-368-0009
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Fax | 561-368-0833
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS JAY FIELD
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Credential | DC
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Telephone | 561-368-0009
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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 | CH0003405
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License Number State | FL
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