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General NPI Number Information
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NPI Number | 1558012575
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Entity Type | Organization
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Legal Business Name | KINESIS CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 4851 SW 148TH AVE BAY 29
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City | DAVIE
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State | FL
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Zip | 33330-2129
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Country | US
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Telephone | 954-854-6869
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Fax |
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Provider Business Mailing Address
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Address Line | 9894 NOB HILL LN
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City | SUNRISE
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State | FL
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Zip | 33351-4664
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Country | US
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Telephone | 954-854-6869
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | NORBERTO TORRES
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Credential | DC
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Telephone | 954-854-6869
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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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