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General NPI Number Information
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NPI Number | 1427277391
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Entity Type | Organization
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Legal Business Name | US CHIROMATRIX CENTERS, CORP
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6444 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6820
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Country | US
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Telephone | 407-574-6367
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Fax | 727-216-9736
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Provider Business Mailing Address
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Address Line | 6444 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6820
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Country | US
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Telephone | 407-574-6367
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Fax | 727-216-9736
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. GARDY JEUNE
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Credential |
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Telephone | 407-574-6367
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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 | HCC6923
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License Number State | FL
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