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General NPI Number Information
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NPI Number | 1528337169
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Entity Type | Organization
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Legal Business Name | PREZIOSI WEST EAST ORLANDO CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 12/28/2011
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 7206 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32822-5806
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Country | US
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Telephone | 407-293-1259
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Fax | 407-293-1789
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Provider Business Mailing Address
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Address Line | 7206 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32822
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Country | US
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Telephone | 407-293-1259
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Fax | 407-293-1789
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. VINCENT A PREZIOSI
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Credential | D.C.
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Telephone | 407-269-1259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH004352
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License Number State | FL
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Taxonomy #2
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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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