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General NPI Number Information
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NPI Number | 1275202814
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Entity Type | Organization
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Legal Business Name | IAB MANAGEMENT LLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 8337 NW 12TH ST STE 101
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City | DORAL
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State | FL
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Zip | 33126-1841
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Country | US
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Telephone | 786-464-1444
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Fax | 786-845-8568
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Provider Business Mailing Address
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Address Line | 8337 NW 12TH ST STE 101
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City | DORAL
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State | FL
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Zip | 33126-1841
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Country | US
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Telephone | 786-464-1444
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Fax | 786-845-8568
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Authorized Official
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Title or Position | OWNER
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Name | MAGALY POLIER
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Credential |
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Telephone | 786-464-1444
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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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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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