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General NPI Number Information
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NPI Number | 1851622708
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Entity Type | Organization
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Legal Business Name | JOHN D. GAFFNEY, D. C., P. A.
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 339 E NEW YORK AVE
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City | DELAND
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State | FL
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Zip | 32724-5509
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Country | US
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Telephone | 386-734-4490
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Fax | 386-736-7556
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Provider Business Mailing Address
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Address Line | 339 E NEW YORK AVE
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City | DELAND
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State | FL
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Zip | 32724-5509
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Country | US
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Telephone | 386-734-4490
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Fax | 386-736-7556
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN D. GAFFNEY
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Credential | D. C.
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Telephone | 386-734-4490
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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 | 1265
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License Number State | FL
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