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General NPI Number Information
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NPI Number | 1821694100
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Entity Type | Organization
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Legal Business Name | THIS RIVER LLC
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 2887 CRAWFORDVILLE HWY STE 1
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-2381
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Country | US
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Telephone | 850-926-1227
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Fax | 850-926-6550
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Provider Business Mailing Address
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Address Line | 2887 CRAWFORDVILLE HWY STE 1
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-2381
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Country | US
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Telephone | 850-926-1227
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Fax | 850-926-6550
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANNA MARIE BATTEN-LANGE
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Credential | DC
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Telephone | 850-926-1227
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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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