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General NPI Number Information
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NPI Number | 1508906322
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Entity Type | Individual
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Provider Name | CHARLES C MAGGIO D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 3822 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32804-2833
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Country | US
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Telephone | 407-293-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 3114 SMU BLVD
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City | ORLANDO
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State | FL
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Zip | 32817-2516
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Country | US
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Telephone | 407-462-6066
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH8476
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License Number State | FL
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