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General NPI Number Information
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NPI Number | 1780831735
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Entity Type | Organization
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Legal Business Name | ON SITE CHIROPRACTIC SOLUTIONS PA
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 410 W NINE MILE RD SUITE C
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City | PENSACOLA
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State | FL
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Zip | 32534-1820
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Country | US
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Telephone | 850-471-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 410 W NINE MILE RD SUITE C
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City | PENSACOLA
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State | FL
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Zip | 32534-1820
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Country | US
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Telephone | 850-471-0000
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | DR. BRANDON P BALDWIN
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Credential | D.C.
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Telephone | 850-776-5606
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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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