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General NPI Number Information
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NPI Number | 1285052365
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Entity Type | Organization
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Legal Business Name | TOTAL CARE CHIROPRACTIC VII INC
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 2608 NE 16TH AVE
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City | WILTON MANORS
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State | FL
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Zip | 33334-4319
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Country | US
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Telephone | 954-463-3036
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Fax | 954-565-5557
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Provider Business Mailing Address
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Address Line | 2608 NE 16TH AVE
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City | WILTON MANORS
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State | FL
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Zip | 33334-4319
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Country | US
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Telephone | 954-463-3036
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Fax | 954-565-5557
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Authorized Official
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Title or Position | PRESIDENT
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Name | TROY S LOMASKY
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Credential | DC
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Telephone | 954-463-3036
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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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