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General NPI Number Information
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NPI Number | 1750426896
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Entity Type | Organization
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Legal Business Name | EMIL CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 2146 58TH AVE
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City | VERO BEACH
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State | FL
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Zip | 32966-4647
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Country | US
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Telephone | 304-312-3445
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Fax | 913-513-4007
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Provider Business Mailing Address
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Address Line | 2146 58TH AVE
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City | VERO BEACH
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State | FL
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Zip | 32966-4647
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Country | US
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Telephone | 304-312-3445
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Fax | 913-513-4007
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMIL RICHARD NARDONE
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Credential | DC
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Telephone | 304-312-3445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 3031
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 736
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License Number State | WV
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Taxonomy #3
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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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