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General NPI Number Information
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NPI Number | 1992009005
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Entity Type | Individual
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Provider Name | JON PAUL FRITZ DC
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Gender | Male
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 1605 COUNTY ROAD 220 SUITE 165
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-4908
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Country | US
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Telephone | 904-425-9060
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Fax | 904-425-9061
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Provider Business Mailing Address
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Address Line | 1605 COUNTY ROAD 220 STE165
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-4908
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Country | US
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Telephone | 904-425-9060
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Fax | 904-425-9061
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH10181
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License Number State | FL
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