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General NPI Number Information
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NPI Number | 1477513091
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Entity Type | Organization
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Legal Business Name | MAGDOVITZ CHIROPRACTIC
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1532 OAKFIELD DR
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City | BRANDON
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State | FL
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Zip | 33511-0829
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Country | US
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Telephone | 813-681-2399
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Fax | 813-685-8338
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Provider Business Mailing Address
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Address Line | 1532 OAKFIELD DR
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City | BRANDON
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State | FL
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Zip | 33511-0829
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Country | US
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Telephone | 813-681-2399
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Fax | 813-685-8338
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | TERRY MAGDOVITZ
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Credential |
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Telephone | 813-681-2399
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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 | 3895
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License Number State | FL
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