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General NPI Number Information
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NPI Number | 1295967156
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Entity Type | Organization
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Legal Business Name | CENTRAL FLORIDA SPINE JOINT AND MUSCLE CENTER
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 1307 S INTERNATIONAL PKWY SUITE 2071
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City | LAKE MARY
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State | FL
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Zip | 32746-1413
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Country | US
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Telephone | 407-878-3783
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Fax | 407-878-3786
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Provider Business Mailing Address
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Address Line | 1307 S INTERNATIONAL PKWY SUITE 2071
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City | LAKE MARY
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State | FL
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Zip | 32746-1413
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Country | US
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Telephone | 407-878-3783
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Fax | 407-878-3786
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. WOODROW A HILL
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Credential | D.C.
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Telephone | 407-212-9097
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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 | CH9763
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License Number State | FL
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