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General NPI Number Information
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NPI Number | 1962677260
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HEALTHCARE ADVANCED CHIROPRACTIC P A
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 1973 SW SAVAGE BLVD 111
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2791
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Country | US
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Telephone | 772-344-4890
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Fax | 772-286-1448
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Provider Business Mailing Address
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Address Line | 1973 SW SAVAGE BLVD 111
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2791
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Country | US
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Telephone | 772-344-4890
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Fax | 772-286-1448
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH L PATE
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Credential | D.C.
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Telephone | 772-344-4890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | CH 9533
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License Number State | FL
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