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General NPI Number Information
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NPI Number | 1396375861
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Entity Type | Organization
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Legal Business Name | HEALTH & WELLNESS CHIROPRACTIC CENTERS OF SOUTH FLORIDA INC.
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 1200 S MAIN ST STE 200
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City | BELLE GLADE
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State | FL
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Zip | 33430-7808
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Country | US
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Telephone | 561-992-8872
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Fax | 561-584-7803
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Provider Business Mailing Address
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Address Line | PO BOX 223152
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City | WEST PALM BEACH
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State | FL
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Zip | 33422-3152
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Country | US
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Telephone | 561-992-8872
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Fax | 561-584-7803
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAVITA THOMPSON
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Credential |
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Telephone | 561-352-8294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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