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General NPI Number Information
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NPI Number | 1841735412
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Entity Type | Organization
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Legal Business Name | J R F CHIROPRACTIC
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 1989 CAPITAL CIR NE SUITE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4493
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Country | US
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Telephone | 850-386-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 1989 CAPITAL CIR NE SUITE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4493
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Country | US
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Telephone | 850-386-7700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES FENN
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Credential | DC
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Telephone | 850-386-7700
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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 | CH7993
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License Number State | FL
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