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General NPI Number Information
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NPI Number | 1255659199
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC & THERAPY SERVICES CORP
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Dates
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Enumeration Date | 05/16/2010
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Last Update Date | 05/16/2010
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Provider Practice Location Address
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Address Line | 3540 FOREST HILL BLVD SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5878
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Country | US
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Telephone | 561-434-5145
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Fax | 561-434-5144
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Provider Business Mailing Address
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Address Line | 3540 FOREST HILL BLVD SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5878
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Country | US
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Telephone | 561-434-5145
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Fax | 561-434-5144
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERARDO SARDINAS
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Credential |
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Telephone | 561-434-5145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC8119
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License Number State | FL
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