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General NPI Number Information
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NPI Number | 1306945068
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Entity Type | Individual
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Provider Name | DR. MICHAEL S. WENDROW
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1125 NE 125TH ST SUITE 100
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5014
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Country | US
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Telephone | 305-899-0266
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Fax | 305-895-0472
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Provider Business Mailing Address
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Address Line | 1125 NE 125TH ST SUITE 100
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5014
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Country | US
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Telephone | 305-899-0266
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Fax | 305-895-0472
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH5933
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License Number State | FL
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