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NPI 1487778379

NPI 1487778379 : APOTHEKER & BLUMSTEIN, INC. : MELBOURNE, FL

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General NPI Number Information
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    NPI Number           |    1487778379
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    Entity Type          |    Organization 
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    Legal Business Name  |    APOTHEKER & BLUMSTEIN, INC. 
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Dates
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    Enumeration Date     |    03/18/2007
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    Last Update Date     |    03/12/2008
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Provider Practice Location Address
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    Address Line         |    551 S APOLLO BLVD SUITE 105
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    City                 |    MELBOURNE
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    State                |    FL
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    Zip                  |    32901-1274
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    Country              |    US
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    Telephone            |    321-951-7330
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    Fax                  |    321-725-1705
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Provider Business Mailing Address
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    Address Line         |    551 S APOLLO BLVD SUITE 105
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    City                 |    MELBOURNE
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    State                |    FL
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    Zip                  |    32901-1274
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    Country              |    US
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    Telephone            |    321-951-7330
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    Fax                  |    321-725-1705
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. LAWRENCE JAY APOTHEKER 
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    Credential           |    D.C.
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    Telephone            |    321-951-7330
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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       |    CH3684
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    License Number State |    FL
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