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General NPI Number Information
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NPI Number | 1326576372
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Entity Type | Organization
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Legal Business Name | WOOLBRIGHT SPINAL CARE, INC
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 06/02/2017
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Provider Practice Location Address
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Address Line | 2240 W WOOLBRIGHT RD STE 209
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6363
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Country | US
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Telephone | 561-810-8017
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Fax | 561-810-8021
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Provider Business Mailing Address
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Address Line | 7350 THATCHER AVE
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City | LANTANA
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State | FL
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Zip | 33462-5242
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Country | US
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Telephone | 561-810-8017
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Fax | 561-810-8021
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. WESNER MENTOR
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Credential | DC
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Telephone | 561-810-8017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 11422
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License Number State | FL
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