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General NPI Number Information
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NPI Number | 1265758924
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Entity Type | Organization
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Legal Business Name | IHC MANAGEMENT LLC
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 9446 W COLONIAL DR
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City | OCOEE
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State | FL
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Zip | 34761-6800
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Country | US
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Telephone | 407-377-0211
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Fax | 407-377-0214
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Provider Business Mailing Address
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Address Line | 9446 W COLONIAL DR
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City | OCOEE
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State | FL
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Zip | 34761-6800
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Country | US
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Telephone | 407-377-0211
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Fax | 407-377-0214
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. JOSEPH ANTHONY TERRANOVA
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Credential | DC
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Telephone | 407-377-0211
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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 | CH8764
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License Number State | FL
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