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General NPI Number Information
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NPI Number | 1174585863
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Entity Type | Individual
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Provider Name | RAYMOND CHEW-ON PAGE DC
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 6705 S RED RD SUITE 702
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3622
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Country | US
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Telephone | 305-662-6433
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Fax | 305-662-2762
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Provider Business Mailing Address
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Address Line | 6705 S RED RD SUITE 702
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3622
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Country | US
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Telephone | 305-662-6433
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Fax | 305-662-2762
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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 | CH7080
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License Number State | FL
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