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General NPI Number Information
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NPI Number | 1396711388
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Entity Type | Organization
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Legal Business Name | WASSERMAN CHIROPRACTIC
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10394 W SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3942
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Country | US
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Telephone | 954-755-1980
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Fax | 954-755-1994
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Provider Business Mailing Address
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Address Line | 4080 NW 100TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1549
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Country | US
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Telephone | 954-755-9292
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ANDREW S. WASSERMAN
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Credential | D.C.
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Telephone | 954-755-1980
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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 | CH4209
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License Number State | FL
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