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NPI 1730359886

NPI 1730359886 : BERL A. MICHEL DC, PA : WEST PALM BEACH, FL

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General NPI Number Information
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    NPI Number           |    1730359886
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    Entity Type          |    Organization 
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    Legal Business Name  |    BERL A. MICHEL DC, PA 
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Dates
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    Enumeration Date     |    03/05/2008
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    Last Update Date     |    10/10/2017
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Provider Practice Location Address
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    Address Line         |    9121 N MILITARY TRL SUITE 208
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33410-5984
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    Country              |    US
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    Telephone            |    561-627-2747
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    Fax                  |    561-691-2098
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Provider Business Mailing Address
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    Address Line         |    9121 N MILITARY TRL SUITE 208
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33410-5984
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    Country              |    US
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    Telephone            |    561-627-2747
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    Fax                  |    561-691-2098
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. BERL A. MICHEL 
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    Credential           |    DC
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    Telephone            |    561-627-2747
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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       |    CH0005855
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    License Number State |    FL
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