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General NPI Number Information
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NPI Number | 1205618485
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Entity Type | Organization
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Legal Business Name | CHIRO-THERAPY SERVICE, PA
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 1501 FOREST HILL BLVD STE 103
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6081
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Country | US
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Telephone | 561-432-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 FOREST HILL BLVD STE 103
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6081
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Country | US
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Telephone | 561-432-5090
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Fax | 561-433-1565
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARRY D MILLIEN
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Credential | MD
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Telephone | 561-254-4779
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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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