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General NPI Number Information
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NPI Number | 1366772998
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Entity Type | Organization
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Legal Business Name | ATRIUM CHIROPRACTIC CENTER INC.
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Dates
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Enumeration Date | 01/04/2010
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 15118 SW 72ND ST
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City | MIAMI
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State | FL
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Zip | 33193-3228
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Country | US
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Telephone | 305-386-9559
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Fax | 305-386-9561
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Provider Business Mailing Address
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Address Line | 15118 SW 72ND ST
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City | MIAMI
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State | FL
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Zip | 33193-3228
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Country | US
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Telephone | 305-386-9559
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Fax | 305-386-9561
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ADOLFO CARLO GUADAGNO
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Credential | D.C.
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Telephone | 305-386-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | CH6060
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License Number State | FL
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