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General NPI Number Information
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NPI Number | 1447681002
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Entity Type | Organization
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Legal Business Name | RED BIRD CHIROPRACTIC, PA
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 5761 BIRD RD
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City | MIAMI
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State | FL
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Zip | 33155-5336
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Country | US
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Telephone | 305-763-8880
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Fax | 305-763-8166
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Provider Business Mailing Address
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Address Line | 5761 BIRD RD
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City | MIAMI
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State | FL
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Zip | 33155-5336
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Country | US
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Telephone | 305-763-8880
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Fax | 305-763-8166
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. HERMANN DIEHL
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Credential | D.C
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Telephone | 305-606-4433
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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 | CH7483
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License Number State | FL
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