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NPI 1245698034

NPI 1245698034 : ORIENTALOS VOLMAR D.C : PALM SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1245698034
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    Entity Type          |    Individual 
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    Provider Name        |    ORIENTALOS VOLMAR D.C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/08/2016
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    Last Update Date     |    10/06/2017
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Provider Practice Location Address
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    Address Line         |    2150 S CONGRESS AVE 
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    City                 |    PALM SPRINGS
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    State                |    FL
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    Zip                  |    33406-7604
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    Country              |    US
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    Telephone            |    574-229-2388
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    Fax                  |    954-246-0289
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Provider Business Mailing Address
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    Address Line         |    2150 S CONGRESS AVE 
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    City                 |    PALM SPRINGS
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    State                |    FL
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    Zip                  |    33406-7604
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    Country              |    US
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    Telephone            |    574-229-2388
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    Fax                  |    954-246-0289
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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       |    CH11720
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    License Number State |    FL
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