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Individual
DR. RANDY J. FEARING
Active
Individual
DR. RANDY J. FEARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2440
FL
111NN0400X
Neurology Chiropractor
CH2440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050318500
—
FL
01
—
89904
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
01/20/2006
Last updated
07/28/2010
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