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General NPI Number Information
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NPI Number | 1013556315
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Entity Type | Organization
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Legal Business Name | TITAN CHIROPRACTIC & REHAB
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 655 N MILITARY TRAIL STE 9
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City | WEST PALM BEACH
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State | FL
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Zip | 33415
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Country | US
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Telephone | 352-399-5085
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Fax | 866-402-3481
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Provider Business Mailing Address
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Address Line | 655 N MILITARY TRAIL STE 9
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City | WEST PALM BEACH
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State | FL
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Zip | 33415
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Country | US
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Telephone | 352-399-5085
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Fax | 866-402-3481
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | TINA SHALLONIS
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Credential |
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Telephone | 352-399-5085
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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 |
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License Number State |
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