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General NPI Number Information
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NPI Number | 1306856034
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Entity Type | Organization
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Legal Business Name | ALVAREZ FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 141 E INDIANA AV STE B
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City | DELAND
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State | FL
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Zip | 32724-4329
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Country | US
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Telephone | 386-734-2522
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Fax | 386-734-2502
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Provider Business Mailing Address
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Address Line | 141 E INDIANA AV STE B
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City | DELAND
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State | FL
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Zip | 32724-4329
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Country | US
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Telephone | 386-734-2522
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Fax | 386-734-2502
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Authorized Official
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Title or Position | OWNER CHIROPRACTIC PHYSICIAN
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Name | MR. TREVOR W MAXWELL
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Credential | DC
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Telephone | 386-734-2522
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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 | CH7642
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7957
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License Number State | FL
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