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General NPI Number Information
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NPI Number | 1770714552
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Entity Type | Organization
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Legal Business Name | GOLDEN CHIROPRACTIC
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 230 SE 23RD AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7620
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Country | US
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Telephone | 561-738-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 230 SE 23RD AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7620
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Country | US
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Telephone | 561-738-7738
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN GOLDEN
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Credential | D.C.
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Telephone | 561-738-7738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CH4738
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License Number State | FL
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