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General NPI Number Information
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NPI Number | 1649506346
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Entity Type | Organization
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Legal Business Name | ACCIDENT RECOVERY CENTER OF PALMETTO
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 10/30/2009
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Provider Practice Location Address
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Address Line | 449 10TH AVE W
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City | PALMETTO
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State | FL
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Zip | 34221-5031
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Country | US
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Telephone | 941-729-5727
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Fax | 941-729-5679
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Provider Business Mailing Address
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Address Line | 449 10TH AVE W
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City | PALMETTO
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State | FL
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Zip | 34221-5031
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Country | US
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Telephone | 941-729-5727
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Fax | 941-729-5679
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAVID ZAMIKOFF
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Credential | DC
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Telephone | 941-761-4994
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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 | FL
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