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General NPI Number Information
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NPI Number | 1770752693
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Entity Type | Organization
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Legal Business Name | TLC CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 3625 NW 82ND AVE STE 320
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City | DORAL
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State | FL
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Zip | 33166-7601
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Country | US
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Telephone | 305-593-1555
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Fax | 786-452-1122
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Provider Business Mailing Address
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Address Line | 3625 NW 82ND AVE STE 320
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City | DORAL
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State | FL
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Zip | 33166-7601
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Country | US
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Telephone | 305-593-1555
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARIA A DEL CAMPILLO
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Credential | D.C.
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Telephone | 305-593-1555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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