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General NPI Number Information
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NPI Number | 1962941732
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Entity Type | Organization
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Legal Business Name | JOIE DE VIVRE HEALTH AND CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 1350 ORANGE AVE STE 266
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City | WINTER PARK
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State | FL
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Zip | 32789-4962
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Country | US
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Telephone | 407-622-1616
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Fax | 407-622-2266
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Provider Business Mailing Address
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Address Line | 1350 ORANGE AVE STE 266
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City | WINTER PARK
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State | FL
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Zip | 32789-4962
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Country | US
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Telephone | 407-622-1616
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Fax | 407-622-2266
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Authorized Official
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Title or Position | PARTNER/CHIROPRACTIC PHYSICIAN
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Name | DR. WILL LLEWELLYN
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Credential | DC
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Telephone | 407-230-8711
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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 | CH 12095
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License Number State | FL
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