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General NPI Number Information
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NPI Number | 1467893362
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Entity Type | Organization
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Legal Business Name | MEYERHEREDIA MEDICAL AND CHIROPRACTIC
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 34 S PARK AVE
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City | APOPKA
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State | FL
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Zip | 32703-4253
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Country | US
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Telephone | 407-240-9500
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Fax | 407-814-9914
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Provider Business Mailing Address
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Address Line | 34 S PARK AVE
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City | APOPKA
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State | FL
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Zip | 32703-4253
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Country | US
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Telephone | 407-240-9500
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Fax | 407-814-9914
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSE REINALDO HEREDIA
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Credential | D.C.
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Telephone | 407-240-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CH7044
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License Number State | FL
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