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General NPI Number Information
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NPI Number | 1669553780
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Entity Type | Organization
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Legal Business Name | DAVIE HEALTH & REHABILITATION
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2924 DAVIE ROAD SUITE 101
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City | DAVIE
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State | FL
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Zip | 33314
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Country | US
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Telephone | 954-689-8915
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Fax | 954-689-8925
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Provider Business Mailing Address
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Address Line | 2924 DAVIE ROAD SUITE 101
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City | DAVIE
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State | FL
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Zip | 33314
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Country | US
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Telephone | 954-689-8915
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Fax | 954-689-8925
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Authorized Official
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Title or Position | MANAGER
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Name | MISS DINA M JOHNSON
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Credential |
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Telephone | 954-689-8915
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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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