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General NPI Number Information
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NPI Number | 1619756772
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Entity Type | Individual
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Provider Name | DANIELLE ROBERTS DC
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Gender | Female
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 8053 W OAKLAND PARK BLVD STE 500
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City | SUNRISE
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State | FL
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Zip | 33351-1159
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Country | US
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Telephone | 786-998-6868
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Fax |
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Provider Business Mailing Address
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Address Line | 354 SE GREENWAY TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-2696
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Country | US
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Telephone | 970-759-7836
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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 | CH14390
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License Number State | FL
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