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General NPI Number Information
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NPI Number | 1588834709
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Entity Type | Organization
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Legal Business Name | ANDREW C EISELE DC PA
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 1365 S MILITARY TRL
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-7634
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Country | US
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Telephone | 954-428-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 S MILITARY TRL
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-7634
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Country | US
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Telephone | 954-428-5252
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW C. EISELE
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Credential | DC
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Telephone | 954-428-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CH4582
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License Number State | FL
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