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General NPI Number Information
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NPI Number | 1326957614
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Entity Type | Individual
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Provider Name | SIMONA PRANAITIS
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 10061 CLEARY BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-1063
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Country | US
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Telephone | 954-982-6502
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Fax |
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Provider Business Mailing Address
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Address Line | 640 NW 7TH AVE APT 1227
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-8693
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Country | US
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Telephone | 815-735-4446
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Fax |
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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 | CH16053
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License Number State | FL
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