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General NPI Number Information
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NPI Number | 1003876392
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR NATURAL HEALTH
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6544 N STATE ROAD 7
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3624
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Country | US
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Telephone | 954-426-1100
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Fax | 954-426-4208
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Provider Business Mailing Address
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Address Line | 6544 N STATE ROAD 7
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3624
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. BRAD TIMPF
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Credential |
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Telephone | 954-426-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8275
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License Number State | FL
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