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General NPI Number Information
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NPI Number | 1003037474
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Entity Type | Organization
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Legal Business Name | NORTHWOOD SPORTS MEDICINE & PHYSICAL REHABILITATION INC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 2790 N MILITARY TRL SUITE 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2926
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Country | US
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Telephone | 561-683-4971
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Fax | 561-478-4946
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Provider Business Mailing Address
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Address Line | 2790 N MILITARY TRL SUITE 1
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2926
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Country | US
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Telephone | 561-683-4971
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Fax | 561-478-4946
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID B ANDERSON
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Credential | D.C.
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Telephone | 561-683-4971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH1504
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH6427
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License Number State | FL
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