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General NPI Number Information
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NPI Number | 1801291927
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Entity Type | Organization
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Legal Business Name | BAUMAN CHIROPRACTIC CLINIC OF NORTHWEST FLORIDA, P.A.
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Dates
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Enumeration Date | 10/31/2014
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Last Update Date | 10/31/2014
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Provider Practice Location Address
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Address Line | 3613 N HIGHWAY 231
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City | PANAMA CITY
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State | FL
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Zip | 32404-9743
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Country | US
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Telephone | 850-785-8311
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Fax | 850-872-9892
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Provider Business Mailing Address
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Address Line | 3613 N HIGHWAY 231
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City | PANAMA CITY
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State | FL
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Zip | 32404-9743
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Country | US
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Telephone | 850-785-8311
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Fax | 850-872-9892
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | DEBBIE J DANIELS
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Credential | CCPA
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Telephone | 850-785-8311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 7130750001
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License Number State | FL
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