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General NPI Number Information
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NPI Number | 1710241146
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Entity Type | Organization
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Legal Business Name | MICHAEL J PARALOVOS DC LLC
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 06/29/2012
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Provider Practice Location Address
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Address Line | 10661 AIRPORT PULLING RD N SUITE 11
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City | NAPLES
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State | FL
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Zip | 34109-7335
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Country | US
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Telephone | 239-260-1426
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Fax | 239-260-1461
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Provider Business Mailing Address
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Address Line | 10661 AIRPORT PULLING RD N SUITE 11
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City | NAPLES
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State | FL
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Zip | 34109-7335
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Country | US
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Telephone | 239-260-1426
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Fax | 239-260-1461
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MICHAEL PARALOVOS
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Credential | DC
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Telephone | 239-260-1426
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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 | CH-9296
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License Number State | FL
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