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General NPI Number Information
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NPI Number | 1164575254
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Entity Type | Individual
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Provider Name | YASER MUSSA JIMENEZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 685 PALM SPRINGS DR SUITE # 1C
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7853
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Country | US
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Telephone | 407-332-7080
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Fax | 407-332-7079
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Provider Business Mailing Address
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Address Line | 685 PALM SPRINGS DR SUITE # 1C
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7853
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Country | US
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Telephone | 407-332-7080
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Fax | 407-332-7079
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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 | CH9295
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 504
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License Number State | PR
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