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General NPI Number Information
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NPI Number | 1205804572
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Entity Type | Individual
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Provider Name | MANUEL EVAN BROOKNER DC
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10361 ROYAL PALM BLVD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065
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Country | US
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Telephone | 954-755-4066
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Fax | 954-341-7819
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Provider Business Mailing Address
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Address Line | 10682 NW 6TH STREET
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City | CORAL SPRINGS
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State | FL
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Zip | 33071
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Country | US
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Telephone | 954-755-4066
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Fax | 954-341-7819
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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 | CH7296
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License Number State | FL
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