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General NPI Number Information
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NPI Number | 1588065080
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Entity Type | Organization
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Legal Business Name | MAIR HEALTH AND WELLNESS CORP
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 201
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4716
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Country | US
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Telephone | 305-271-1652
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Fax | 305-271-1855
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Provider Business Mailing Address
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Address Line | 7000 SW 62ND AVE STE 201
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4716
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Country | US
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Telephone | 305-271-1652
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Fax | 305-271-1855
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | LAURENCE SIMON MAIR
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Credential | DC
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Telephone | 305-271-1652
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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 | CH9016
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License Number State | FL
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