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General NPI Number Information
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NPI Number | 1013460401
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Entity Type | Organization
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Legal Business Name | TOTAL CHIROPRACTIC SOLUTIONS INC.
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 11010 N KENDALL DR SUITE 104
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City | MIAMI
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State | FL
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Zip | 33176-1216
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Country | US
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Telephone | 786-953-8667
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Fax | 786-953-8717
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Provider Business Mailing Address
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Address Line | 11010 N KENDALL DR SUITE 104
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City | MIAMI
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State | FL
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Zip | 33176-1216
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Country | US
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Telephone | 786-953-8667
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Fax | 786-953-8717
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. GERARDO MARTINEZ
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Credential | D.C.
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Telephone | 305-772-3580
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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 | CH10271
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License Number State | FL
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