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General NPI Number Information
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NPI Number | 1578791844
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Entity Type | Organization
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Legal Business Name | WELLNESS IN MOTION CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 712 SE 32ND TER
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City | CAPE CORAL
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State | FL
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Zip | 33904-4124
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Country | US
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Telephone | 708-220-6108
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Fax |
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Provider Business Mailing Address
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Address Line | 712 SE 32ND TER
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City | CAPE CORAL
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State | FL
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Zip | 33904-4124
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Country | US
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Telephone | 708-220-6108
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, SECRETARY
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Name | DR. ANTHONY DANIEL CISTERNINO
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Credential | D.C.
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Telephone | 708-220-6108
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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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