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General NPI Number Information
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NPI Number | 1518619337
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Entity Type | Individual
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Provider Name | AUSTIN ALATORRE DC
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Gender | Male
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Dates
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Enumeration Date | 01/23/2022
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Last Update Date | 05/07/2023
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Provider Practice Location Address
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Address Line | 800 STERTHAUS DRIVE UNIT A
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City | ORMOND BEACH
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State | FL
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Zip | 32174-4759
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Country | US
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Telephone | 386-383-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 4888 S ATLANTIC AVE
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City | PONCE INLET
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State | FL
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Zip | 32127-7208
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Country | US
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Telephone | 304-615-6748
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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 | 13743
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License Number State | FL
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