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General NPI Number Information
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NPI Number | 1194049189
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Entity Type | Individual
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Provider Name | PAVLOA SANTAMARIA D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 6610 E FOWLER AVE STE C
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-2443
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Country | US
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Telephone | 813-701-7272
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Fax | 813-501-1081
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Provider Business Mailing Address
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Address Line | PO BOX 290285
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City | TAMPA
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State | FL
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Zip | 33687-0285
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Country | US
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Telephone | 813-701-7272
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Fax | 813-501-1081
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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 | CH9983
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License Number State | FL
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