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General NPI Number Information
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NPI Number | 1699920967
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Entity Type | Organization
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Legal Business Name | RAEMISCH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/30/2008
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 82 MAXCY PLAZA CIR
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City | HAINES CITY
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State | FL
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Zip | 33844-2488
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Country | US
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Telephone | 863-421-9700
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Fax | 863-421-1953
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Provider Business Mailing Address
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Address Line | 82 MAXCY PLAZA CIR
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City | HAINES CITY
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State | FL
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Zip | 33844-2488
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Country | US
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Telephone | 863-421-9700
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Fax | 863-421-1953
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | CHRISTOPHER T RAEMISCH
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Credential | DC
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Telephone | 863-421-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0007066
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License Number State | FL
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