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General NPI Number Information
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NPI Number | 1679768410
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Entity Type | Organization
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Legal Business Name | ACCURATE CHIROPRACTIC CLINIC PA
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 12082 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-7371
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Country | US
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Telephone | 352-684-2707
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Fax | 352-688-1282
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Provider Business Mailing Address
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Address Line | 12082 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-7371
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Country | US
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Telephone | 352-684-2707
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Fax | 352-688-1282
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRATIC
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Name | DR. ANN LAUREN MARRA
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Credential | D.C.
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Telephone | 352-684-2707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | CH006649
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License Number State | FL
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