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General NPI Number Information
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NPI Number | 1629252168
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Entity Type | Organization
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Legal Business Name | MICHAUX FAMILY CHIROPRACTIC P.A
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 4347 S HWY 27
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City | CLERMONT
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State | FL
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Zip | 34711-5349
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Country | US
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Telephone | 352-243-7300
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Fax | 352-243-7355
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Provider Business Mailing Address
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Address Line | 4347 S HWY 27
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City | CLERMONT
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State | FL
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Zip | 34711-5349
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Country | US
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Telephone | 352-243-7300
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Fax | 352-243-7355
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Authorized Official
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Title or Position | OWNER
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Name | DR. KURTIS DAMON MICHAUX
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Credential | D.C
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Telephone | 352-243-7300
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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 | CH7851
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License Number State | FL
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