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General NPI Number Information
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NPI Number | 1831876309
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Entity Type | Organization
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Legal Business Name | DNA CHIROPRACTIC AND PERFORMANCE LLC
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 15202 NW 147TH DR STE 1500
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City | ALACHUA
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State | FL
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Zip | 32615-5337
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Country | US
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Telephone | 352-359-3192
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Fax |
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Provider Business Mailing Address
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Address Line | 17246 NW 173RD DR
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City | ALACHUA
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State | FL
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Zip | 32615-0060
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Country | US
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Telephone | 352-792-5002
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/CHIROPRACTOR
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Name | DR. ALEXANDREA DANIELLE WILLIAMS
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Credential | DC
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Telephone | 352-359-3192
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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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