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General NPI Number Information
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NPI Number | 1821256850
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Entity Type | Organization
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Legal Business Name | SPRING HILL CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 14270 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34609-5259
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Country | US
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Telephone | 352-684-1484
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Fax | 352-684-1420
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Provider Business Mailing Address
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Address Line | 14270 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34609-5259
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Country | US
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Telephone | 352-684-1484
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Fax | 352-684-1420
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Authorized Official
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Title or Position | OWNER
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Name | DR. DIANA JESSICA CRIVELLI
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Credential | D.C.
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Telephone | 352-684-1484
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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 | CH8199
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License Number State | FL
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