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General NPI Number Information
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NPI Number | 1629233838
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Entity Type | Organization
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Legal Business Name | WARNER CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 5240 BANK ST STE 1
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City | FORT MYERS
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State | FL
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Zip | 33907-2110
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Country | US
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Telephone | 239-489-2225
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Fax | 239-489-0046
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Provider Business Mailing Address
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Address Line | 5240 BANK ST STE 1
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City | FORT MYERS
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State | FL
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Zip | 33907-2110
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Country | US
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Telephone | 239-489-2225
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD JOHNSON
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Credential | DC
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Telephone | 239-489-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 6249
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License Number State | FL
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