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General NPI Number Information
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NPI Number | 1699829713
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Entity Type | Organization
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Legal Business Name | BITTIKER CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 7135 STATE ROAD 52 SUITE 304
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City | HUDSON
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State | FL
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Zip | 34667-6782
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Country | US
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Telephone | 727-868-8770
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Fax | 727-869-0302
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Provider Business Mailing Address
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Address Line | 7135 STATE ROAD 52 SUITE 304
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City | HUDSON
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State | FL
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Zip | 34667-6782
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Country | US
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Telephone | 727-868-8770
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Fax | 727-869-0302
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN B. BITTIKER
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Credential | D.C.
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Telephone | 727-868-8729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CH0002359
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License Number State | FL
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