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General NPI Number Information
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NPI Number | 1922385376
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Entity Type | Organization
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Legal Business Name | ELAN WELLNESS CENTER
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 12197 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33626-1732
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Country | US
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Telephone | 813-855-0001
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Fax | 813-855-0008
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Provider Business Mailing Address
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Address Line | 12197 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33626-1732
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Country | US
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Telephone | 813-855-0001
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Fax | 813-855-0008
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. CHRISTINE ROGERS
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Credential | D.C.
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Telephone | 813-855-0001
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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 | CH8474
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License Number State | FL
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