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General NPI Number Information
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NPI Number | 1730725847
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Entity Type | Organization
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Legal Business Name | HEALING CHOICE CHIROPRACTIC WELLNESS PLLC
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Dates
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Enumeration Date | 11/24/2019
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Last Update Date | 11/24/2019
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Provider Practice Location Address
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Address Line | 460 SW PORT ST LUCIE BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2041
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Country | US
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Telephone | 561-951-8516
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Fax |
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Provider Business Mailing Address
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Address Line | 111 SW CHAPMAN AVE # 3
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City | PORT ST LUCIE
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State | FL
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Zip | 34984-4310
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Country | US
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Telephone | 561-951-8516
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRENA MARIE ADAMS
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Credential | DC
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Telephone | 561-951-8516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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