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General NPI Number Information
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NPI Number | 1043176662
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Entity Type | Organization
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Legal Business Name | DIVINE MOTION CHIROPRACTIC LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2 OAKWOOD BLVD SUITE 190, UNIT 47/49
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City | HOLLYWOOD
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State | FL
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Zip | 33020
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Country | US
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Telephone | 217-693-1609
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Fax |
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Provider Business Mailing Address
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Address Line | 442 SE 11TH TER
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City | DANIA BEACH
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State | FL
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Zip | 33004-4529
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | SYDNEY ALVAREZ
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Credential | DC
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Telephone | 217-693-1609
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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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