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General NPI Number Information
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NPI Number | 1851977078
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Entity Type | Organization
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Legal Business Name | QUEST CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 701 E 3RD AVE STE 5
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-3105
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Country | US
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Telephone | 386-682-8869
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Fax | 386-957-9164
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Provider Business Mailing Address
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Address Line | 701 E 3RD AVE STE 5
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169-3105
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Country | US
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Telephone | 386-682-8869
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Fax | 386-957-9164
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Authorized Official
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Title or Position | CO OWNER
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Name | DR. KYLEE KESSLER
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Credential | DC
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Telephone | 386-682-8869
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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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