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NPI 1114688512

NPI 1114688512 : STEPHANIE CARMEL DC : PALM BEACH GARDENS, FL

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General NPI Number Information
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    NPI Number           |    1114688512
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE CARMEL DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/07/2022
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    Last Update Date     |    01/07/2022
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Provider Practice Location Address
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    Address Line         |    11382 PROSPERITY FARMS RD STE 225 
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33410-3463
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    Country              |    US
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    Telephone            |    561-867-1020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16117 70TH ST N 
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    City                 |    LOXAHATCHEE
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    State                |    FL
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    Zip                  |    33470-3445
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    Country              |    US
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    Telephone            |    478-954-0587
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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       |    CH13538
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    License Number State |    FL
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