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General NPI Number Information
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NPI Number | 1568597748
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Entity Type | Organization
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Legal Business Name | C. DAX MAGGIORE, D.C., P.A.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 915 E OCEAN BLVD SUITE 2
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City | STUART
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State | FL
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Zip | 34994-2426
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Country | US
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Telephone | 772-286-3650
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Fax | 772-286-2649
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Provider Business Mailing Address
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Address Line | 915 E. OCEAN BLVD. SUITE 2
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City | STUART
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State | FL
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Zip | 34994-2426
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Country | US
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Telephone | 772-286-3650
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Fax | 772-286-2649
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER DAX MAGGIORE
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Credential | D.C.
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Telephone | 772-286-3650
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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 | CH 7526
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License Number State | FL
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