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General NPI Number Information
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NPI Number | 1659599769
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC CARE OF GOLF COAST INC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 201 8TH ST S SUITE 307
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City | NAPLES
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State | FL
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Zip | 34102-6107
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Country | US
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Telephone | 239-248-7210
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Fax | 239-530-7002
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Provider Business Mailing Address
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Address Line | 201 8TH ST S SUITE 307
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City | NAPLES
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State | FL
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Zip | 34102-6107
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Country | US
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Telephone | 239-248-7210
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Fax | 239-530-7002
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUSSELL EUGENE TURNER
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Credential | DC
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Telephone | 239-248-7210
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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 | CH7088
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License Number State | FL
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