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General NPI Number Information
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NPI Number | 1689803371
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Entity Type | Organization
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Legal Business Name | BODYALIGN CHIROPRACTIC & MASSAGE THERAPY, INC
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 10521 HEARTH RD
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City | SPRING HILL
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State | FL
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Zip | 34608-3714
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Country | US
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Telephone | 352-610-4335
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Fax | 352-610-4336
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Provider Business Mailing Address
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Address Line | 10521 HEARTH RD
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City | SPRING HILL
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State | FL
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Zip | 34608-3714
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Country | US
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Telephone | 352-610-4335
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Fax | 352-610-4336
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENISE R BRAY
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Credential | DC
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Telephone | 352-610-4335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | CH 6531
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License Number State | FL
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