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NPI 1659572519

NPI 1659572519 : SWINSON CHIROPRACTIC & TOTAL HEALTH CENTER INC : OCALA, FL

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General NPI Number Information
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    NPI Number           |    1659572519
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    Entity Type          |    Organization 
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    Legal Business Name  |    SWINSON CHIROPRACTIC & TOTAL HEALTH CENTER INC 
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Dates
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    Enumeration Date     |    05/29/2007
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    Last Update Date     |    08/29/2012
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Provider Practice Location Address
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    Address Line         |    5481 SW 60TH ST UNIT 302 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34474-5653
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    Country              |    US
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    Telephone            |    352-840-0444
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    Fax                  |    352-873-4066
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Provider Business Mailing Address
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    Address Line         |    5481 SW 60TH ST UNIT 302 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34474-5653
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    Country              |    US
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    Telephone            |    352-840-0444
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    Fax                  |    352-873-4066
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Authorized Official
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    Title or Position    |    OWNER PRESIDENT
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    Name                 |    DR. DOUGLAS LAWRENCE SWINSON II
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    Credential           |    D.C.
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    Telephone            |    352-840-0444
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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       |    CH7946
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    License Number State |    FL
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