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General NPI Number Information
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NPI Number | 1265825848
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Entity Type | Organization
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Legal Business Name | HENRY M. REYNOLDS D.C. P.A.
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 5801 BIRD RD STE. E
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City | MIAMI
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State | FL
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Zip | 33155-5383
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Country | US
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Telephone | 305-662-2071
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Fax | 305-662-9587
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Provider Business Mailing Address
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Address Line | 5801 BIRD RD STE. E
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City | MIAMI
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State | FL
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Zip | 33155-5383
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Country | US
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Telephone | 305-662-2071
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Fax | 305-662-9587
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Authorized Official
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Title or Position | PRESIDENT
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Name | HENRY REYNOLDS
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Credential | D.C.
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Telephone | 305-662-2071
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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 |
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License Number State |
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