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General NPI Number Information
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NPI Number | 1588705586
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Entity Type | Individual
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Provider Name | JOSEPH S MADDOX JR. DC
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Gender | Male
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 8760 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-3810
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Country | US
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Telephone | 727-430-7325
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Fax |
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Provider Business Mailing Address
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Address Line | 8617 PINETREE DR W
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City | SEMINOLE
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State | FL
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Zip | 33772-3340
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Country | US
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Telephone | 727-392-7002
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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 | 3204
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License Number State | FL
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