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General NPI Number Information
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NPI Number | 1710231691
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Entity Type | Organization
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Legal Business Name | CRAIG M BACHAR, D.C., PA
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 23 WEBB ST
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City | OSPREY
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State | FL
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Zip | 34229-8954
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Country | US
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Telephone | 941-966-5213
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Fax | 941-966-5368
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Provider Business Mailing Address
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Address Line | 23 WEBB ST
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City | OSPREY
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State | FL
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Zip | 34229-8954
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Country | US
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Telephone | 941-966-5213
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Fax | 941-966-5368
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG MARTIN BACHAR
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Credential | DC
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Telephone | 941-966-5213
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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 | CH6714
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License Number State | FL
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