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General NPI Number Information
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NPI Number | 1982774931
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Entity Type | Organization
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Legal Business Name | JACKSONVILLE CHIROPRACTIC ASSOCIATES, INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 710 3RD ST. NORTH
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City | JACKSONVILLE
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State | FL
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Zip | 32250
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Country | US
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Telephone | 904-249-1551
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Fax | 904-249-1530
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Provider Business Mailing Address
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Address Line | 710 3RD ST. NORTH
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250
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Country | US
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Telephone | 904-249-1551
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Fax | 904-249-1530
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Authorized Official
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Title or Position | OWNER
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Name | MARCUS A KAMPFE
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Credential | DC
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Telephone | 904-249-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | CH5569
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License Number State | FL
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