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General NPI Number Information
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NPI Number | 1487062972
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Entity Type | Organization
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Legal Business Name | MIAMI HOLLISIC CHIROPRACTORS
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 9719 S DIXIE HWY STE 7
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City | MIAMI
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State | FL
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Zip | 33156-2834
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Country | US
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Telephone | 786-408-4889
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Fax |
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Provider Business Mailing Address
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Address Line | 9719 S DIXIE HWY STE 7
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City | MIAMI
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State | FL
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Zip | 33156-2834
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Country | US
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Telephone | 786-408-4889
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW POLLACK
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Credential | D.C.
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Telephone | 305-450-5587
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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 | CH10877
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License Number State | FL
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