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General NPI Number Information
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NPI Number | 1760343313
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Entity Type | Organization
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Legal Business Name | CHIRO NOMAD OF THE VILLAGES
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Dates
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Enumeration Date | 11/22/2025
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 13940 N US HIGHWAY 441 STE 205
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City | LADY LAKE
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State | FL
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Zip | 32159-8909
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Country | US
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Telephone | 386-951-9200
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Fax | 386-279-0200
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Provider Business Mailing Address
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Address Line | 1575 S SR 15A STE 300
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City | DELAND
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State | FL
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Zip | 32720-7810
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Country | US
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Telephone | 386-951-9200
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Fax | 386-279-0200
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Authorized Official
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Title or Position | OWNER
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Name | YAMELYS SANABRIA MENDEZ
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Credential | DC
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Telephone | 808-654-4456
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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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