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NPI 1659629566

NPI 1659629566 : MEGAN FRANKLIN, D.C., LLC : PORT ORANGE, FL

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General NPI Number Information
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    NPI Number           |    1659629566
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEGAN FRANKLIN, D.C., LLC 
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Dates
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    Enumeration Date     |    08/27/2012
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    Last Update Date     |    08/27/2012
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Provider Practice Location Address
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    Address Line         |    900 N SWALLOWTAIL DR STE 104D 
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    City                 |    PORT ORANGE
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    State                |    FL
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    Zip                  |    32129-6103
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    Country              |    US
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    Telephone            |    386-492-2989
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    900 N SWALLOWTAIL DR STE 104D 
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    City                 |    PORT ORANGE
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    State                |    FL
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    Zip                  |    32129-6103
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    Country              |    US
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    Telephone            |    386-492-2989
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MEGAN  FRANKLIN 
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    Credential           |    D.C.
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    Telephone            |    352-817-3315
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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       |    CH 10721
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    License Number State |    FL
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