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General NPI Number Information
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NPI Number | 1003933755
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Entity Type | Organization
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Legal Business Name | 441 CHIROPRACTIC CARE, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3640 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5608
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Country | US
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Telephone | 954-731-8999
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Fax | 954-731-0043
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Provider Business Mailing Address
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Address Line | 3640 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5608
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Country | US
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Telephone | 954-731-8999
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Fax | 954-731-0043
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MAURICE EXAVIER
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Credential |
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Telephone | 954-731-8999
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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 | HC7033
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License Number State | FL
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