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General NPI Number Information
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NPI Number | 1790647667
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Entity Type | Organization
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Legal Business Name | BERTHIAUME CHIROPRACTIC OF OCALA INC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 801 NE 25TH AVE
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City | OCALA
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State | FL
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Zip | 34470-6319
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Country | US
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Telephone | 352-732-0200
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Fax | 352-732-2623
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Provider Business Mailing Address
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Address Line | 801 NE 25TH AVE
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City | OCALA
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State | FL
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Zip | 34470-6319
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Country | US
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Telephone | 352-732-0200
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Fax | 352-732-2623
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD G BERTHIAUME
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Credential | DC
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Telephone | 321-720-8185
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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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