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General NPI Number Information
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NPI Number | 1740053602
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Entity Type | Individual
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Provider Name | DALTON RAMIREZ-DIAZ DC
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Gender | Male
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 801 N MAGNOLIA AVE STE 201
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City | ORLANDO
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State | FL
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Zip | 32803-3842
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Country | US
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Telephone | 407-730-5306
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Fax |
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Provider Business Mailing Address
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Address Line | 14012 BROGDEN CT
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City | ORLANDO
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State | FL
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Zip | 32826-6415
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Country | US
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Telephone | 407-864-5950
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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 | CH14598
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License Number State | FL
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