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Individual
DR. TRUDY MOON EISEL
Active
Individual
DR. TRUDY MOON EISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006616
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22989
BLUE CROSS BLUE SHIELD
FL
01
—
22989Y
PTAN
FL
Enumeration date
10/05/2006
Last updated
11/28/2016
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