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Individual
CARL JOHN ABENDROTH III
Active
Individual
CARL JOHN ABENDROTH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55897
BCBS PROVIDER ID
FL
01
—
650951021
TAX ID
FL
01
—
CH7777
STATE LICENSE
FL
Enumeration date
12/06/2006
Last updated
06/13/2008
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