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General NPI Number Information
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NPI Number | 1043342512
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Entity Type | Organization
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Legal Business Name | BACUS CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2706 W ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2551
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Country | US
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Telephone | 954-957-7500
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Fax | 954-957-7040
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Provider Business Mailing Address
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Address Line | 2706 W ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33069-2551
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Country | US
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Telephone | 954-957-7500
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Fax | 954-957-7040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS MORE MANIDIS
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Credential | D.C.
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Telephone | 954-957-7500
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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 | CH8425
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS8239
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License Number State | FL
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