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General NPI Number Information
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NPI Number | 1366830598
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Entity Type | Organization
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Legal Business Name | OASIS CHIROPRACTIC
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 331 NE 167TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2304
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Country | US
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Telephone | 305-947-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 331 NE 167TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2304
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Country | US
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Telephone | 305-947-6300
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Fax |
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Authorized Official
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Title or Position | P
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Name | DR. TONY A ALVAREZ
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Credential | DC
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Telephone | 305-308-9696
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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 | CH8780
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License Number State | FL
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