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General NPI Number Information
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NPI Number | 1902909880
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Entity Type | Organization
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Legal Business Name | SPAIN WELLNESS CENTER INC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 1117 N PALAFOX ST
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City | PENSACOLA
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State | FL
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Zip | 32501-2607
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Country | US
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Telephone | 850-433-1111
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Fax | 850-434-6995
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Provider Business Mailing Address
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Address Line | 1117 N PALAFOX ST
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City | PENSACOLA
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State | FL
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Zip | 32501-2607
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Country | US
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Telephone | 850-433-1111
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Fax | 850-434-6995
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | JOHNATHAN M NEWLIN
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Credential | D.C.
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Telephone | 850-433-1111
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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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