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General NPI Number Information
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NPI Number | 1154888311
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Entity Type | Individual
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Provider Name | DILLON FEIERSTADT DC
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Gender | Male
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 2001 W SAMPLE RD STE 404
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-1341
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Country | US
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Telephone | 954-431-6884
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 W SAMPLE RD STE 404
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-1341
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Country | US
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Telephone | 954-673-8838
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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 | CH12672
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License Number State | FL
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