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General NPI Number Information
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NPI Number | 1659402667
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Entity Type | Organization
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Legal Business Name | CHIRO-MED PLUS
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 3588 PEBBLE PATH LN
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City | JACKSONVILLE
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State | FL
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Zip | 32224-1614
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Country | US
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Telephone | 904-444-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 3588 PEBBLE PATH LN
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City | JACKSONVILLE
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State | FL
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Zip | 32224-1614
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. RICHIE CABIGTING
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Credential | DC
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Telephone | 904-444-1206
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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 | CH8889
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License Number State | FL
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