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General NPI Number Information
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NPI Number | 1699836312
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Entity Type | Individual
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Provider Name | LAWRENCE HOWARD KLOSKY D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 18441 N.W 2ND AVE. SUITE # 220
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4537
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Country | US
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Telephone | 305-652-8401
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Fax | 305-652-8413
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Provider Business Mailing Address
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Address Line | 18441 NW 2ND AVE SUITE # 220
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4517
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Country | US
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Telephone | 305-652-8401
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Fax | 305-652-8413
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH0002993
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License Number State | FL
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