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General NPI Number Information
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NPI Number | 1477896090
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Entity Type | Organization
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Legal Business Name | ATLANTIC MEDICAL, INC
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 10414 W ATLANTIC BLVD
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5605
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Country | US
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Telephone | 954-800-7091
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Fax | 954-800-7092
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Provider Business Mailing Address
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Address Line | 934 N UNIVERSITY DR #237
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7029
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Country | US
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Telephone | 954-800-7091
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Fax | 954-800-7092
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGG POPKIN
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Credential | D.C.
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Telephone | 954-800-7091
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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 | CH7081
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License Number State | FL
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