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General NPI Number Information
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NPI Number | 1124416599
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Entity Type | Individual
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Provider Name | DAVID TRASTER DC
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Gender | Male
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 15966 LAUREL CREEK DR
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City | DELRAY BEACH
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State | FL
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Zip | 33446-9556
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Country | US
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Telephone | 973-600-4675
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Fax |
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Provider Business Mailing Address
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Address Line | 15966 LAUREL CREEK DR
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City | DELRAY BEACH
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State | FL
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Zip | 33446-9556
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Country | US
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Telephone | 973-600-4675
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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 | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | CHIR009377
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | CH11740
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License Number State | FL
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