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General NPI Number Information
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NPI Number | 1922545664
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Entity Type | Organization
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Legal Business Name | JUST DO IT THERAPY LLC
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 6901 OKEECHOBEE BLVD STE D7
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2513
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Country | US
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Telephone | 561-371-3326
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Fax | 561-684-6221
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Provider Business Mailing Address
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Address Line | 6901 OKEECHOBEE BLVD STE D7
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2513
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Country | US
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Telephone | 561-371-3326
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Fax | 561-684-6221
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERALD RAFTOPOULOS
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Credential | DC
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Telephone | 561-371-3326
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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 | CH8252
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License Number State | FL
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