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General NPI Number Information
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NPI Number | 1508021692
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Entity Type | Organization
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Legal Business Name | OAKLAND CHIROPRACTIC CARE
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 2704 W OAKLAND PARK BLVD
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1336
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Country | US
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Telephone | 954-739-3455
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Fax | 954-777-2788
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Provider Business Mailing Address
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Address Line | 2704 W OAKLAND PARK BLVD
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1336
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Country | US
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Telephone | 954-739-3455
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Fax | 954-777-2788
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | DR. THOMAS E VALLORANI
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Credential | D.C.
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Telephone | 954-739-3455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CH3175
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License Number State | FL
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