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General NPI Number Information
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NPI Number | 1033437983
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Entity Type | Organization
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Legal Business Name | THE HEALING PALACE INC.
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Dates
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Enumeration Date | 05/16/2010
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 1 CURTISS PKWY #6
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5263
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Country | US
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Telephone | 786-972-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 324 PALMETTO DR
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5824
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Country | US
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Telephone | 786-972-1616
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ADRIAN MELERO
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Credential | A.P.
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Telephone | 786-972-1616
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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 | CH9977
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2697
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License Number State | FL
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