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General NPI Number Information
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NPI Number | 1285733212
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Entity Type | Individual
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Provider Name | PAUL L GUADAGNO D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 6075 SUNSET DR 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 | 305-971-8222
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Provider Business Mailing Address
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Address Line | 7801 SW 133RD CT
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City | MIAMI
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State | FL
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Zip | 33183-3319
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Country | US
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Telephone | 786-701-8671
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH9004
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License Number State | FL
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