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General NPI Number Information
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NPI Number | 1255604666
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Entity Type | Individual
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Provider Name | SEAN THOMAS NORKUS D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 3469 W BOYNTON BEACH BLVD SUITE 10
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4611
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Country | US
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Telephone | 561-317-3516
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Fax | 561-585-2115
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Provider Business Mailing Address
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Address Line | 3469 W BOYNTON BEACH BLVD SUITE 10
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4611
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Country | US
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Telephone | 561-317-3516
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Fax | 561-585-2115
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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 | CH 10545
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License Number State | FL
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