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General NPI Number Information
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NPI Number | 1205952850
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH FITNESS P A
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13838 SW 56TH ST
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City | MIAMI
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State | FL
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Zip | 33175-6061
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Country | US
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Telephone | 305-380-6296
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Fax | 305-380-6298
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Provider Business Mailing Address
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Address Line | 13838 SW 56TH ST
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City | MIAMI
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State | FL
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Zip | 33175-6061
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Country | US
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Telephone | 305-380-6296
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Fax | 305-380-6298
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Authorized Official
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Title or Position | OFFICER DIRECTOR
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Name | DR. TODD D GOLDBERG
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Credential | DC
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Telephone | 305-380-6296
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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 | CH0007996
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License Number State | FL
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