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General NPI Number Information
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NPI Number | 1851082168
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Entity Type | Organization
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Legal Business Name | REDISCOVER HEALTH CHIROPRACTIC & WELLNESS PLLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 800 STERTHAUS DR UNIT A
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5132
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Country | US
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Telephone | 386-383-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 4888 S ATLANTIC AVE
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City | PONCE INLET
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State | FL
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Zip | 32127-7208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUSTIN ALATORRE
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Credential | DC
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Telephone | 386-383-0620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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