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General NPI Number Information
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NPI Number | 1508567454
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Entity Type | Organization
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Legal Business Name | ALIGN AND FLOW CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 805 E BROWARD BLVD STE 301C
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2046
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Country | US
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Telephone | 954-551-3346
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Fax |
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Provider Business Mailing Address
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Address Line | 400 NE 3RD AVE APT 3504
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-4122
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Country | US
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Telephone | 781-974-3696
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Fax |
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | CONNOR HENEY
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Credential | DC
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Telephone | 954-551-3346
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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 |
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License Number State |
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