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General NPI Number Information
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NPI Number | 1679940548
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Entity Type | Organization
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Legal Business Name | DR. RHEA CONLEY, LLC
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 10796 PINES BLVD STE 101
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3919
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Country | US
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Telephone | 954-367-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 10796 PINES BLVD STE 101
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3919
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Country | US
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Telephone | 954-367-4888
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. RHEA D CONLEY
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Credential | DC
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Telephone | 954-367-4888
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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 | 4006
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 11521
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License Number State | FL
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