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General NPI Number Information
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NPI Number | 1700779501
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Entity Type | Organization
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Legal Business Name | LEGACY MEDICAL ASSOCIATES INCORPORATED
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 3001 CORAL HILLS DR STE 170
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4172
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Country | US
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Telephone | 319-290-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 E LEITNER DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2048
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Country | US
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Telephone | 319-290-5681
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER KASEL
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Credential | D.C.
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Telephone | 319-290-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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