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General NPI Number Information
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NPI Number | 1821381518
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Entity Type | Individual
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Provider Name | MICHAEL B MCNEIL D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 13121 ATLANTIC BLVD. SUITE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32225
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Country | US
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Telephone | 904-220-6461
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Fax | 904-220-8953
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Provider Business Mailing Address
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Address Line | 2127 SAINT MARTINS DR W
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City | JACKSONVILLE
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State | FL
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Zip | 32246-7055
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Country | US
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Telephone | 904-687-3781
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Fax | 904-220-8953
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH4337
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | MC2506
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License Number State | NJ
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