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General NPI Number Information
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NPI Number | 1124476551
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Entity Type | Organization
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Legal Business Name | ZEN CHIRO LLC
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 132 LAKE AVE SUITE 132
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City | MAITLAND
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State | FL
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Zip | 32751-6424
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Country | US
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Telephone | 407-960-3656
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 W SMITH ST
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City | ORLANDO
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State | FL
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Zip | 32804-4832
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Country | US
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Telephone | 407-538-5793
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANUEL RAMIREZ
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Credential | D.C.
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Telephone | 407-960-3656
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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 | CH5539
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License Number State | FL
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