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General NPI Number Information
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NPI Number | 1679784060
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC CENTER OF SOUTH FLORIDA
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2565 N HIATUS RD
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City | HOLLYWOOD
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State | FL
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Zip | 33026-1371
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Country | US
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Telephone | 954-450-9919
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Fax | 954-450-9920
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Provider Business Mailing Address
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Address Line | 2565 N HIATUS RD
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City | HOLLYWOOD
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State | FL
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Zip | 33026-1371
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Country | US
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Telephone | 954-450-9919
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Fax | 954-450-9920
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Authorized Official
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Title or Position | MANAGER MEMBER
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Name | MRS. BETSY M OLIVEIRA
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Credential |
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Telephone | 954-450-9919
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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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