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General NPI Number Information
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NPI Number | 1699837641
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Entity Type | Organization
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Legal Business Name | CORDERO CHIROPRACTIC & ASSOCIATES
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 650 ROYAL PALM BEACH BLVD STE 7
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-7661
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Country | US
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Telephone | 561-795-3156
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Fax | 561-795-3126
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Provider Business Mailing Address
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Address Line | 650 ROYAL PALM BEACH BLVD STE 7
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-7661
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Country | US
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Telephone | 561-795-3156
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Fax | 561-795-3126
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEBRA A CORDERO
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Credential | BSA
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Telephone | 561-389-6829
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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 | CH0006930
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License Number State | FL
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