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General NPI Number Information
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NPI Number | 1659542140
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Entity Type | Organization
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Legal Business Name | THE CHIROPRACTIC GROUP LLC
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 08/29/2008
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Provider Practice Location Address
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Address Line | 1140 S PARROTT AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34974-5270
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Country | US
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Telephone | 863-357-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 S PARROTT AVE
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City | OKEECHOBEE
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State | FL
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Zip | 34974-5270
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Country | US
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Telephone | 863-357-3800
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Fax |
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Authorized Official
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Title or Position | DOCTOR/MANAGING MEMBER
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Name | DR. DEAN SCHINCARIOL
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Credential | D.C.
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Telephone | 863-357-3800
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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 |
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