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General NPI Number Information
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NPI Number | 1740438845
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Entity Type | Organization
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Legal Business Name | PRIORITY MEDICAL CENTERS, LLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 10778 WILES RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33076
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Country | US
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Telephone | 954-346-5750
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Fax | 954-757-2533
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Provider Business Mailing Address
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Address Line | 10778 WILES RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33076
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Country | US
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Telephone | 954-346-5750
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Fax | 954-757-2533
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Authorized Official
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Title or Position | MGRM
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Name | DR. LAWRENCE BRETT ASHKINAZY
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Credential | D.C.
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Telephone | 954-346-5750
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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 | CH6841
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7494
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License Number State | FL
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