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General NPI Number Information
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NPI Number | 1962914945
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Entity Type | Organization
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Legal Business Name | MANASOTA ACCIDENT & INJURY CENTER, LLC
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 6703 14TH ST W STE 101
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City | BRADENTON
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State | FL
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Zip | 34207-5836
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Country | US
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Telephone | 941-751-0223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11208
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City | BRADENTON
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State | FL
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Zip | 34282-1208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS JAMES HYNDS JR.
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Credential | DC
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Telephone | 941-586-9123
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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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