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General NPI Number Information
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NPI Number | 1710235502
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Entity Type | Organization
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Legal Business Name | HEATHER M GUIDEBECK, D.C.
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 3745 11TH CIR STE 106
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City | VERO BEACH
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State | FL
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Zip | 32960-4838
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Country | US
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Telephone | 772-563-2900
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Fax | 772-563-2961
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Provider Business Mailing Address
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Address Line | 3745 11TH CIR STE 106
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City | VERO BEACH
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State | FL
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Zip | 32960-4838
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Country | US
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Telephone | 772-618-3033
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Fax | 772-672-7580
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEATHER GUIDEBECK
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Credential | DC
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Telephone | 772-618-3033
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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 | CH7963
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License Number State | FL
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