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General NPI Number Information
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NPI Number | 1780917104
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Entity Type | Organization
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Legal Business Name | ALL SPECIALTY MEDICAL CARE CORP.
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 5595 ORANGE DR STE 206
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City | DAVIE
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State | FL
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Zip | 33314-3825
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Country | US
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Telephone | 954-338-2342
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Fax |
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Provider Business Mailing Address
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Address Line | 5595 ORANGE DR STE 206
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City | DAVIE
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State | FL
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Zip | 33314-3825
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Country | US
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Telephone | 954-338-2342
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. OLGA SPIVAK
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Credential | DC
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Telephone | 954-338-2342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | CH7942
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License Number State | FL
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