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General NPI Number Information
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NPI Number | 1831976224
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Entity Type | Organization
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Legal Business Name | BACK BETTER CHIROPRACTIC LLC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 1111 NE 25TH AVE STE 504
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City | OCALA
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State | FL
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Zip | 34470-5669
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Country | US
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Telephone | 352-509-6741
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Fax |
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Provider Business Mailing Address
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Address Line | 17245 SE 158TH AVE
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City | WEIRSDALE
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State | FL
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Zip | 32195-3112
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Country | US
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Telephone | 182-828-3940
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT L GOLD
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Credential | DC
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Telephone | 182-828-3940
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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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