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General NPI Number Information
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NPI Number | 1073202461
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Entity Type | Organization
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Legal Business Name | ALTUS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 4231 W BAY TO BAY BLVD
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City | TAMPA
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State | FL
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Zip | 33629-6605
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Country | US
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Telephone | 813-600-0618
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Fax | 855-835-5789
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Provider Business Mailing Address
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Address Line | 4231 W BAY TO BAY BLVD
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City | TAMPA
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State | FL
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Zip | 33629-6605
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Country | US
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Telephone | 312-330-8788
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Fax | 855-835-5789
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Authorized Official
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Title or Position | OWNER
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Name | DR. OSAMA SHAYEB
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Credential | DC
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Telephone | 312-330-8788
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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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