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General NPI Number Information
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NPI Number | 1649591900
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Entity Type | Organization
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Legal Business Name | HUNTERS CREEK INJURY
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 13938 EGRET TOWER DR STE B
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City | ORLANDO
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State | FL
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Zip | 32837-6176
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Country | US
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Telephone | 407-440-4642
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Fax | 407-440-4644
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Provider Business Mailing Address
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Address Line | 13938 EGRET TOWER DR STE B
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City | ORLANDO
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State | FL
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Zip | 32837-6176
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Country | US
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Telephone | 407-440-4642
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Fax | 407-440-4644
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Authorized Official
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Title or Position | VICEPRESIDENT
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Name | MR. OSCAR ALZATE
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Credential |
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Telephone | 407-440-4642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number |
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License Number State |
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