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General NPI Number Information
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NPI Number | 1598272916
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Entity Type | Organization
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Legal Business Name | ICARE CHIROPRACTIC, P.A.
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 5226 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1168
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Country | US
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Telephone | 305-240-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 5226 W FLAGLER ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1168
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Country | US
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Telephone | 305-240-3564
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ANTHONY J. RODRIGUEZ
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Credential | D.C.
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Telephone | 305-240-3564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | CH10347
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10347
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License Number State | FL
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