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General NPI Number Information
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NPI Number | 1699067041
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Entity Type | Organization
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Legal Business Name | PATRICK J. OPACHICH, D.C.P.A.
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 1610 BLANDING BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1804
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Country | US
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Telephone | 904-387-4151
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Fax | 904-389-8864
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Provider Business Mailing Address
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Address Line | 1610 BLANDING BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1804
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Country | US
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Telephone | 904-387-4151
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Fax | 904-389-8864
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK JOHNNY OPACHICH
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Credential | D.C.
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Telephone | 904-387-4151
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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 | CH4041
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number |
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License Number State |
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