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General NPI Number Information
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NPI Number | 1588263867
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Entity Type | Organization
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Legal Business Name | ORCHID ISLAND CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 9613 N US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-6363
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Country | US
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Telephone | 772-766-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 5056 5TH MNR
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City | VERO BEACH
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State | FL
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Zip | 32968-1176
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Country | US
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Telephone | 772-766-3311
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. JENNIFER LEIGH CARTER
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Credential | DC
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Telephone | 772-766-3311
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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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