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General NPI Number Information
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NPI Number | 1528287448
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Entity Type | Individual
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Provider Name | HOWARD E. KOENIG D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 540 E MCNAB RD STE C
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City | POMPANO BEACH
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State | FL
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Zip | 33060-9354
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Country | US
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Telephone | 954-946-4204
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Fax | 954-946-4402
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Provider Business Mailing Address
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Address Line | 4487 NW 64TH ST
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City | COCONUT CREEK
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State | FL
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Zip | 33073-1968
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Country | US
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Telephone | 954-421-0065
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Fax | 954-946-4402
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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 | CH0006358
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License Number State | FL
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