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General NPI Number Information
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NPI Number | 1558671545
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Entity Type | Organization
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Legal Business Name | BONE ISLAND CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 3201 FLAGLER AVE STE 509
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City | KEY WEST
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State | FL
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Zip | 33040-4693
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Country | US
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Telephone | 305-296-2663
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Fax | 305-296-2668
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Provider Business Mailing Address
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Address Line | 3201 FLAGLER AVE STE 509
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City | KEY WEST
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State | FL
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Zip | 33040-4693
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Country | US
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Telephone | 305-296-2663
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Fax | 305-296-2668
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MELISSA H. MUNOZ-KOKENZIE
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Credential | D.C.
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Telephone | 305-296-2663
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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 | CHOOO6748
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License Number State | FL
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