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General NPI Number Information
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NPI Number | 1992993471
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Entity Type | Organization
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Legal Business Name | ACHIEVING WELLNESS CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 776 W MIDWAY RD
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City | FORT PIERCE
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State | FL
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Zip | 34982-4203
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Country | US
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Telephone | 772-460-7999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 881946
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City | PORT ST LUCIE
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State | FL
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Zip | 34988-1946
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Country | US
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Telephone | 772-460-7999
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. KERRI E WARD
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Credential | DC
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Telephone | 772-460-7999
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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 | CH8374
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License Number State | FL
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