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General NPI Number Information
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NPI Number | 1023530086
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Entity Type | Organization
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Legal Business Name | BRAIN TO BODY CHIROPRACTIC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 9522 BIRD RD
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City | MIAMI
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State | FL
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Zip | 33165-4036
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Country | US
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Telephone | 305-667-1188
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Fax | 305-667-1669
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Provider Business Mailing Address
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Address Line | 9522 BIRD RD
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City | MIAMI
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State | FL
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Zip | 33165-4036
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Country | US
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Telephone | 305-667-1188
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Fax | 305-667-1669
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER LOUIS JIMENEZ
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Credential | DC
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Telephone | 305-338-0868
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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 | CH11876
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License Number State | FL
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