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General NPI Number Information
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NPI Number | 1477327740
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Entity Type | Organization
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Legal Business Name | SPINE UNIVERSE CHIRO LLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 6092 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33313-1210
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Country | US
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Telephone | 954-533-9047
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Fax | 954-541-3189
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Provider Business Mailing Address
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Address Line | 6092 W OAKLAND PARK BLVD
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City | SUNRISE
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State | FL
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Zip | 33313-1210
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Country | US
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Telephone | 954-533-9047
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Fax | 954-541-3189
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEAN F RODNEY
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Credential | MD
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Telephone | 954-533-9047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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