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General NPI Number Information
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NPI Number | 1831698604
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Entity Type | Organization
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Legal Business Name | BEAUTY ARTISTRY HEALTH CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 02/13/2018
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Provider Practice Location Address
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Address Line | 414 OLD HARD RD STE 106
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-3407
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Country | US
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Telephone | 678-629-1039
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Fax |
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Provider Business Mailing Address
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Address Line | 5375 ORTEGA FARMS BLVD UNIT 408
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City | JACKSONVILLE
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State | FL
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Zip | 32210-7480
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | STEPHANIE DAVIDSON
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Credential | DC
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Telephone | 904-742-3766
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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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