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General NPI Number Information
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NPI Number | 1083460489
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Entity Type | Individual
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Provider Name | MICHAEL NARTATEZ DC
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Gender | Male
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 5200 BABCOCK ST NE
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City | PALM BAY
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State | FL
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Zip | 32905-4612
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Country | US
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Telephone | 321-328-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 2419 CAMARGO DR APT 3104
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City | MELBOURNE
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State | FL
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Zip | 32940-6279
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Country | US
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Telephone | 321-794-4942
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH14999
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License Number State | FL
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