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General NPI Number Information
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NPI Number | 1184996027
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Entity Type | Organization
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Legal Business Name | TADSERH SERRALTA, INC.
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 813 US 27 S
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City | SEBRING
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State | FL
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Zip | 33870-2173
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Country | US
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Telephone | 863-385-5300
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Fax | 863-402-9147
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Provider Business Mailing Address
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Address Line | 813 US 27 S
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City | SEBRING
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State | FL
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Zip | 33870-2173
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Country | US
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Telephone | 863-385-5300
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Fax | 863-402-9147
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LOURDES MARIA SERRALTA
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Credential |
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Telephone | 863-385-5300
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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 | CH0006802
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License Number State | FL
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