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General NPI Number Information
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NPI Number | 1649300997
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA CHIROPRACTIC CENTERS, INC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 12673 SOUTH DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33156
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Country | US
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Telephone | 786-242-6460
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Fax | 786-242-6430
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Provider Business Mailing Address
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Address Line | 12673 SOUTH DIXIE HWY
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City | MIAMI
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State | FL
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Zip | 33156
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Country | US
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Telephone | 786-242-6460
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Fax | 786-242-6430
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. LINDA S PETRILLO
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Credential | DC
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Telephone | 786-242-6460
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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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