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General NPI Number Information
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NPI Number | 1760834048
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Entity Type | Organization
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Legal Business Name | OCEAN VIEW HEALTH CHIROPRACTIC
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 320 1ST ST N STE 709
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-6944
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Country | US
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Telephone | 904-270-2793
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Fax | 904-270-2796
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Provider Business Mailing Address
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Address Line | 320 1ST ST N STE 709
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-6944
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Country | US
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Telephone | 904-270-2793
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Fax | 904-270-2796
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH A PIERING
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Credential | D.C.
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Telephone | 301-775-2007
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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 | CH11813
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License Number State | FL
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