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General NPI Number Information
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NPI Number | 1720414659
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Entity Type | Individual
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Provider Name | PATRICIA JIMENEZ BARALT D.C
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Gender | Female
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 1776 N PINE ISLAND RD STE 316
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City | PLANTATION
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State | FL
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Zip | 33322-5235
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Country | US
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Telephone | 954-713-9450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 266401
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City | WESTON
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State | FL
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Zip | 33326-6401
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Country | US
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Telephone | 954-713-9450
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Fax |
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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 | 521
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License Number State | PR
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