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General NPI Number Information
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NPI Number | 1851533160
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Entity Type | Organization
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Legal Business Name | DRANEY REHABILITATION SERVICES
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 5109 STEPP AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6053
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Country | US
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Telephone | 904-683-4417
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Fax | 904-683-4416
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Provider Business Mailing Address
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Address Line | 5109 STEPP AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6053
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Country | US
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Telephone | 904-683-4417
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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. KYLE C. DRANEY
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Credential |
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Telephone | 904-683-4417
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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 | CH8090
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License Number State | FL
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