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General NPI Number Information
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NPI Number | 1598097867
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Entity Type | Organization
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Legal Business Name | DEBRA A. RABIDEAU, P.A.
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 7866 W. SAMPLE RD.
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4710
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Country | US
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Telephone | 954-465-8952
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Fax | 954-341-1134
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Provider Business Mailing Address
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Address Line | 7866 W. SAMPLE RD.
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4710
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Country | US
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Telephone | 954-465-8952
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Fax | 954-341-1134
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEBRA A RABIDEAU
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Credential | D.C.
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Telephone | 954-465-8952
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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 | CH7339
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License Number State | FL
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