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General NPI Number Information
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NPI Number | 1780181594
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Entity Type | Organization
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Legal Business Name | HEALTH IN MOTION CHIROPRACTIC
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 10 DOGWOOD TRL STE B
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City | DEBARY
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State | FL
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Zip | 32713-2443
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Country | US
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Telephone | 386-320-0325
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Fax |
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Provider Business Mailing Address
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Address Line | 772 LAKE COMO DR
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City | LAKE MARY
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State | FL
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Zip | 32746-4809
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Country | US
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Telephone | 757-846-3560
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JENETTE AUCHTER
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Credential | D.C.
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Telephone | 386-320-0325
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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 |
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License Number State |
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