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General NPI Number Information
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NPI Number | 1922652122
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Entity Type | Organization
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Legal Business Name | HARBORSIDE CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 5422 LOCKWOOD RIDGE RD
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City | BRADENTON
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State | FL
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Zip | 34203-3454
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Country | US
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Telephone | 941-702-2822
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Fax |
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Provider Business Mailing Address
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Address Line | 5422 LOCKWOOD RIDGE RD
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City | BRADENTON
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State | FL
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Zip | 34203-3454
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Country | US
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Telephone | 941-702-2822
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. STEPHANIE MURPHREE
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Credential | DC
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Telephone | 941-702-2822
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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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