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General NPI Number Information
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NPI Number | 1992994040
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Entity Type | Organization
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Legal Business Name | BEE RIDGE CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 3139 SOUTHGATE CIR
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City | SARASOTA
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State | FL
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Zip | 34239-5515
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Country | US
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Telephone | 941-365-8555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21962
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City | SARASOTA
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State | FL
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Zip | 34276-4962
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Country | US
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Telephone | 941-365-8555
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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. DARREN JAMES EDMONDS
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Credential | D.C.
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Telephone | 941-365-8555
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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 | CH8091
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License Number State | FL
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