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General NPI Number Information
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NPI Number | 1043640170
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Entity Type | Organization
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Legal Business Name | D & S CHIRO REHAB CENTER, INC
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 3901 NW 79TH AVE SUITE 122
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City | DORAL
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State | FL
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Zip | 33166-6508
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Country | US
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Telephone | 305-200-5331
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Fax | 305-953-7071
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Provider Business Mailing Address
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Address Line | 3901 NW 79TH AVE SUITE 122
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City | DORAL
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State | FL
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Zip | 33166-6508
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Country | US
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Telephone | 305-200-5331
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Fax | 305-953-7071
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Authorized Official
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Title or Position | OWNER
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Name | MR. DELFI M MONTEAGUDO
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Credential | DC
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Telephone | 305-200-5331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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