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General NPI Number Information
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NPI Number | 1619682531
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Entity Type | Organization
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Legal Business Name | DNSBRAINHEALTH
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 41 N FEDERAL HWY STE D
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4304
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Country | US
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Telephone | 754-432-3653
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Fax |
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Provider Business Mailing Address
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Address Line | 41 N FEDERAL HWY STE D
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4304
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Country | US
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Telephone | 754-432-3653
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMANTHA CAITLIN CARNEY
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Credential | DC
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Telephone | 614-551-1579
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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 |
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License Number State |
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