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Organization
RANDY J. FEARING, DC
Active
Organization
RANDY J. FEARING, DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY J. FEARING D. C. (OWNER)
(352) 377-5158
Entity
Organization
Contact information
Practice address
4509 NW 23RD AVE, SUITE 6, GAINESVILLE, FL 32606-6570
(352) 377-5158
(352) 377-4303
Mailing address
4509 NW 23RD AVE, SUITE 6, GAINESVILLE, FL 32606-6570
(352) 377-5158
(352) 377-4303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50318500
—
FL
01
—
89904
BLUE CROSS BLUE SHIELD
FL
01
—
CH002440
FL LICENSE
FL
Enumeration date
01/03/2008
Last updated
01/03/2008
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