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General NPI Number Information
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NPI Number | 1689298234
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Entity Type | Organization
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Legal Business Name | TWO PALMS CHIROPRACTIC & WELLNESS
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 5620 TARA BLVD STE 103
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City | BRADENTON
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State | FL
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Zip | 34203-8865
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Country | US
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Telephone | 941-220-6993
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Fax | 941-220-6969
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Provider Business Mailing Address
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Address Line | 5620 TARA BLVD STE 103
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City | BRADENTON
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State | FL
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Zip | 34203-8865
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Country | US
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Telephone | 941-220-6993
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Fax | 941-220-6969
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTY MOORE
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Credential | DC
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Telephone | 678-462-9553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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