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General NPI Number Information
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NPI Number | 1760922330
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Entity Type | Organization
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Legal Business Name | KING HEALTH CENTER LLC
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 7429 CONROY WINDERMERE RD
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City | ORLANDO
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State | FL
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Zip | 32835-2758
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Country | US
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Telephone | 407-253-5351
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Fax | 407-822-5351
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Provider Business Mailing Address
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Address Line | 7429 CONROY WINDERMERE RD
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City | ORLANDO
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State | FL
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Zip | 32835-2758
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Country | US
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Telephone | 407-253-5351
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Fax | 407-822-5351
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. GARY GEORGE KING
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Credential | D.C.
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Telephone | 407-253-5351
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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 | CH8970
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License Number State | FL
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