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General NPI Number Information
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NPI Number | 1043403116
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Entity Type | Organization
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Legal Business Name | ACCIDENT INJURY AND FAMILY HEALTHCARE
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 17230 WEST DIXIE HIGHWAY
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160
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Country | US
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Telephone | 305-948-9777
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Fax | 305-948-3555
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Provider Business Mailing Address
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Address Line | 17230 WEST DIXIE HIGHWAY
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160
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Country | US
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Telephone | 305-948-9777
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Fax | 305-948-3555
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. EILEEN MARSHA DVORKIN
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Credential | DO
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Telephone | 305-948-9777
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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 | CH2365
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License Number State | FL
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