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General NPI Number Information
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NPI Number | 1922573161
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Entity Type | Organization
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Legal Business Name | FAMILY FOCUS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 150 KENT RD STE 1A
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-6485
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Country | US
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Telephone | 904-999-7873
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Fax | 904-342-0009
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Provider Business Mailing Address
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Address Line | 150 KENT RD STE 1A
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-6485
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Country | US
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Telephone | 904-999-7873
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Fax | 904-342-0009
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. CHRISTINE M PASCUAL
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Credential | DC
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Telephone | 904-999-7873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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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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