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General NPI Number Information
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NPI Number | 1285826990
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Entity Type | Organization
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Legal Business Name | BACK IN LINE BACK CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 6991 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33317-2907
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Country | US
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Telephone | 954-584-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 6991 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33317-2907
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Country | US
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Telephone | 954-584-2225
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARBARA LUCIA MARCIANTE
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Credential | D.C., C. C. E.P.
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Telephone | 954-584-2225
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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