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General NPI Number Information
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NPI Number | 1235162744
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Entity Type | Organization
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Legal Business Name | CENTER FOR FAMILY HEALTH & WELLNESS INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 5900 HIATUS RD SUITE 100
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City | COPPER CITY
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State | FL
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Zip | 33330
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Country | US
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Telephone | 954-252-7744
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Fax | 954-252-7556
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Provider Business Mailing Address
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Address Line | 5900 HIATUS RD SUITE 100
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City | COPPER CITY
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State | FL
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Zip | 33330
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Country | US
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Telephone | 954-252-7744
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Fax | 954-252-7556
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | MISS ERIKA FERNANDEZ
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Credential |
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Telephone | 954-252-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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