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General NPI Number Information
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NPI Number | 1578886396
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Entity Type | Organization
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Legal Business Name | PHYSICAL HEALTH CARE ADVISORS, PLLC
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 3001 EASTLAND BLVD BUILDING G, SUITE 2
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City | CLEARWATER
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State | FL
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Zip | 33761-4104
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Country | US
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Telephone | 727-797-0500
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Fax | 727-797-0050
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Provider Business Mailing Address
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Address Line | 3001 EASTLAND BLVD BUILDING G, SUITE 2
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City | CLEARWATER
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State | FL
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Zip | 33761-4104
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Country | US
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Telephone | 727-797-0500
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Fax | 727-797-0050
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC K GROTEKE
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Credential | DC
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Telephone | 727-797-0500
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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 | CH8772
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License Number State | FL
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