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General NPI Number Information
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NPI Number | 1750189270
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Entity Type | Organization
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Legal Business Name | DOCREISSLLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 5353 N FEDERAL HWY STE 220
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-3236
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Country | US
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Telephone | 754-313-6036
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Fax | 754-333-5512
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Provider Business Mailing Address
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Address Line | 300 E OAKLAND PARK BLVD STE 316
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City | OAKLAND PARK
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State | FL
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Zip | 33334-2148
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Country | US
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Telephone | 954-778-9990
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. DANIEL JON REISS
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Credential | DC
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Telephone | 754-313-6036
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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 |
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License Number State |
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