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General NPI Number Information
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NPI Number | 1053523639
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Entity Type | Organization
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Legal Business Name | MAHER WELLNESS AND REHABILITATION
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13910 JOG RD 101
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City | DELRAY BEACH
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State | FL
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Zip | 33446-5907
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Country | US
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Telephone | 561-865-4680
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Fax | 561-865-4681
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Provider Business Mailing Address
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Address Line | 13910 JOG RD 101
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City | DELRAY BEACH
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State | FL
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Zip | 33446-5907
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Country | US
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Telephone | 561-865-4680
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Fax | 561-865-4681
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MELISSA A MAHER
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Credential | DC
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Telephone | 561-865-4680
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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 | CH 8601
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License Number State | FL
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