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General NPI Number Information
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NPI Number | 1285133538
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Entity Type | Organization
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Legal Business Name | CHIROMEDIC HEALTHCARE ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 6075 SW 72ND STREET SUITE 203
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City | MIAMI
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State | FL
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Zip | 33143-3314
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Country | US
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Telephone | 305-971-0302
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Fax | 305-971-8222
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Provider Business Mailing Address
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Address Line | 6075 SW 72ND ST STE 203
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5000
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Country | US
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Telephone | 305-971-0302
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL L GUADAGNO
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Credential | DC
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Telephone | 305-971-0302
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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 | CH9004
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License Number State | FL
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