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General NPI Number Information
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NPI Number | 1548072010
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Entity Type | Individual
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Provider Name | KURT HOLOBOFF DC
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Gender | Male
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 3335 BURNS RD STE 200
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4311
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Country | US
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Telephone | 561-578-4850
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Fax | 561-899-0394
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Provider Business Mailing Address
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Address Line | 639 SE HARBORVIEW DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-2703
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Country | US
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Telephone | 561-644-3254
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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 | CH15331
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License Number State | FL
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