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General NPI Number Information
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NPI Number | 1598614067
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Entity Type | Individual
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Provider Name | MARIELIS MONTALVO PEREZ DC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 8570 STIRLING RD STE 103
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8204
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Country | US
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Telephone | 954-743-4133
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 SE 10TH AVE APT 3131
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-3170
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Country | US
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Telephone |
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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 | CH15780
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License Number State | FL
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