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General NPI Number Information
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NPI Number | 1619903259
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 BUTLER ST SUITE 301
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-6036
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Country | US
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Telephone | 561-296-8787
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Fax | 561-296-8788
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Provider Business Mailing Address
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Address Line | 200 BUTLER ST SUITE 301
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-6036
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Country | US
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Telephone | 561-296-8787
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Fax | 561-296-8788
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. CARLINE CLERGE
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Credential | D.C.
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Telephone | 561-296-8787
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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 | CH8493
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License Number State | FL
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