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General NPI Number Information
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NPI Number | 1043038763
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Entity Type | Individual
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Provider Name | JAVIER A NIEVES MIRANDA D.C
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Gender | Male
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 6445 SW 8TH ST
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City | WEST MIAMI
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State | FL
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Zip | 33144-4813
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Country | US
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Telephone | 305-603-7449
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Fax |
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Provider Business Mailing Address
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Address Line | 8851 SW 212TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33189-3876
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Country | US
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Telephone | 787-423-3015
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 15186
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License Number State | FL
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