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General NPI Number Information
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NPI Number | 1871743740
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA CHIROPRACTIC INJURY CENTER PA
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 223 BLANDING BLVD
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City | ORANGE PARK
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State | FL
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Zip | 32073-3357
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Country | US
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Telephone | 904-272-4329
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Fax | 904-375-8852
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Provider Business Mailing Address
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Address Line | 2230 SANDRIDGE RD
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City | GREEN COVE SPRINGS
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State | FL
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Zip | 32043-9559
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Country | US
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Telephone | 904-272-4329
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Fax | 904-375-8852
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Authorized Official
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Title or Position | OWNER
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Name | DR. JASON ORLANDO
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Credential | DC
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Telephone | 904-272-4329
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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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