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General NPI Number Information
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NPI Number | 1861659484
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Entity Type | Organization
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Legal Business Name | ALAN NATHANS FAMILY CHIROPRACTIC INC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 11048 BAYMEADOWS RD SUITE 2
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9699
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Country | US
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Telephone | 904-733-7393
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Fax | 904-363-3397
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Provider Business Mailing Address
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Address Line | 11048 BAYMEADOWS RD SUITE 2
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9699
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Country | US
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Telephone | 904-733-7393
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Fax | 904-363-3397
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN NATHANS
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Credential | D.C,
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Telephone | 904-733-7393
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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 | CH7885
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License Number State | FL
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