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General NPI Number Information
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NPI Number | 1346480225
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Entity Type | Organization
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Legal Business Name | DAVID M. TRAX, D.C., P.A.
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 03/04/2009
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Provider Practice Location Address
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Address Line | 6005 SE US HIGHWAY 301 SUITE 405 A
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City | HAWTHORNE
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State | FL
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Zip | 32640-7316
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Country | US
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Telephone | 352-481-9994
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Fax | 352-481-9954
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Provider Business Mailing Address
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Address Line | 6005 SE US HIGHWAY 301 SUITE 405 A
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City | HAWTHORNE
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State | FL
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Zip | 32640-7316
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Country | US
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Telephone | 352-481-9994
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Fax | 352-481-9954
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID M TRAX
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Credential | D.C.
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Telephone | 352-481-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH8028
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License Number State | FL
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