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NPI 1518020510

NPI 1518020510 : ASSOCIATES FOR TOTAL HEALTH : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1518020510
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASSOCIATES FOR TOTAL HEALTH 
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Dates
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    Enumeration Date     |    12/19/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2000 E OAKLAND PARK BLVD SUITE 101
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33306-1120
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    Country              |    US
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    Telephone            |    954-566-4222
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    Fax                  |    954-566-4386
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Provider Business Mailing Address
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    Address Line         |    2805 E OAKLAND PARK BLVD PMB446
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33306-1813
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    Country              |    US
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    Telephone            |    954-566-4222
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    Fax                  |    954-566-4386
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. DANIEL J REISS 
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    Credential           |    DC
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    Telephone            |    954-566-4222
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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       |    CH0005947
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    License Number State |    FL
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