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General NPI Number Information
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NPI Number | 1477734648
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Entity Type | Organization
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Legal Business Name | SERRANO CHIROPRACTIC AND WELLNESS LLC
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 9040 TOWN CENTER PARKWAY
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-4101
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Country | US
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Telephone | 941-552-5674
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 TOWN CENTER PKWY
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-4101
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Country | US
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Telephone | 941-552-5674
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN/OWNER
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Name | DR. REINALDO SERRANO
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Credential | DC
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Telephone | 941-356-4571
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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 | CH8264
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License Number State | FL
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