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General NPI Number Information
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NPI Number | 1285942094
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Entity Type | Organization
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Legal Business Name | MARYAM JAFARIEH, PA
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 1515 EAST COMMERCIAL BLVD.
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City | FORT LAUDERDALE
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State | FL
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Zip | 33334
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Country | US
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Telephone | 954-229-1995
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Fax | 954-229-1996
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Provider Business Mailing Address
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Address Line | 5165 NW 11TH LANE
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City | POMPANO BEACH
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State | FL
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Zip | 33064-8621
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Country | US
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Telephone | 954-229-1995
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Fax | 954-229-1996
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARYAM JAFARIEH
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Credential | D.C.
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Telephone | 954-554-4662
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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 | CH8598
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License Number State | FL
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