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NPI 1528697356

NPI 1528697356 : DR. RAFAEL A. CODINACH, D.C. INC. : DORAL, FL

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General NPI Number Information
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    NPI Number           |    1528697356
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. RAFAEL A. CODINACH, D.C. INC. 
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Dates
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    Enumeration Date     |    04/03/2020
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    Last Update Date     |    04/03/2020
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Provider Practice Location Address
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    Address Line         |    9831 NW 58TH ST UNIT 148 
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33178-2715
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    Country              |    US
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    Telephone            |    305-343-8448
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    Fax                  |    305-860-1528
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Provider Business Mailing Address
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    Address Line         |    9831 NW 58TH ST UNIT 148 
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33178-2715
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    Country              |    US
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    Telephone            |    305-343-8448
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    Fax                  |    305-860-1528
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Authorized Official
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    Title or Position    |    CHIROPRACTOR
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    Name                 |    DR. RAFAEL A CODINACH 
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    Credential           |    D.C.
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    Telephone            |    305-343-8448
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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       |    
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    License Number State |    
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