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General NPI Number Information
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NPI Number | 1841421013
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Entity Type | Organization
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Legal Business Name | TRUDY MOON EISEL, D.C., P.A.
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 1190 PINE RIDGE RD SUITE 1
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City | NAPLES
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State | FL
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Zip | 34108-8914
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Country | US
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Telephone | 239-261-1387
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Fax | 239-263-8780
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Provider Business Mailing Address
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Address Line | 1190 PINE RIDGE RD SUITE 1
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City | NAPLES
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State | FL
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Zip | 34108-8914
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Country | US
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Telephone | 239-261-1387
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Fax | 239-263-8780
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Authorized Official
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Title or Position | PRESIDENT
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Name | TRUDY EISEL
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Credential | D.C.
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Telephone | 239-261-1387
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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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