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General NPI Number Information
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NPI Number | 1356636955
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Entity Type | Organization
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Legal Business Name | THE BROWARD CENTER FOR PAIN AND INJURY, LLC
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 2450 N POWERLINE RD SUITE 26
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City | POMPANO BEACH
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State | FL
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Zip | 33069-1051
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Country | US
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Telephone | 954-776-1880
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Fax | 954-776-1808
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Provider Business Mailing Address
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Address Line | 2450 N POWERLINE RD SUITE 26
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City | POMPANO BEACH
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State | FL
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Zip | 33069-1051
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Country | US
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Telephone | 954-776-1880
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Fax | 954-776-1808
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Authorized Official
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Title or Position | MANAGER
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Name | MS. KAREN VULGAMORE
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Credential |
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Telephone | 954-640-4040
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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 | CH7927
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License Number State | FL
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