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General NPI Number Information
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NPI Number | 1003259912
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL HEALTH MANAGEMENT, LLC
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 2045 N UNIVERSITY DR
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City | SUNRISE
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State | FL
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Zip | 33322-3936
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Country | US
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Telephone | 954-825-5832
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Fax | 954-742-7344
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Provider Business Mailing Address
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Address Line | 2045 N UNIVERSITY DR
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City | SUNRISE
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State | FL
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Zip | 33322-3936
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Country | US
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Telephone | 954-825-5832
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Fax | 954-742-7344
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ALEXANDER CHARLES FRANK
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Credential | DC, DACNB
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Telephone | 954-825-5832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | CH10093
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License Number State | FL
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