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General NPI Number Information
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NPI Number | 1831985167
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Entity Type | Organization
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Legal Business Name | P.H.I.T. PERFORMANCE HEALTH & INTEGRATIVE TRAINING
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 351 N RONALD REAGAN BLVD STE 1015
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City | LONGWOOD
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State | FL
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Zip | 32750-4159
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Country | US
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Telephone | 407-790-7990
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Fax |
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Provider Business Mailing Address
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Address Line | 351 N RONALD REAGAN BLVD STE 1015
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City | LONGWOOD
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State | FL
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Zip | 32750-4159
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Country | US
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Telephone | 407-790-7990
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | JEREMIAH KENNEY-WRIGHT
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Credential | DC
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Telephone | 407-417-2533
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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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