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General NPI Number Information
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NPI Number | 1184448060
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Entity Type | Organization
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Legal Business Name | BACKTOMIND H
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 6342 W COLONIAL DR # 1
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City | ORLANDO
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State | FL
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Zip | 32818-7859
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Country | US
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Telephone | 954-986-4559
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Fax | 954-986-4526
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Provider Business Mailing Address
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Address Line | 3990 SHERIDAN ST STE 201
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3656
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Country | US
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Telephone | 954-986-4559
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Fax | 954-986-4526
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | GADY ABRAMSON
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Credential | DC
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Telephone | 954-986-4559
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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