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General NPI Number Information
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NPI Number | 1790117752
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Entity Type | Organization
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Legal Business Name | INJURYONE, INC
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 9831 NW 58TH ST SUITE 148
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City | DORAL
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State | FL
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Zip | 33178-2713
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Country | US
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Telephone | 305-333-4198
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Fax |
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Provider Business Mailing Address
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Address Line | 15555 SW 26TH TER
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City | MIAMI
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State | FL
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Zip | 33185-4948
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Country | US
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Telephone | 305-333-4198
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDUARDO CHRISTOPHER RIVERO
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Credential | DC, MPH, PAC
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Telephone | 305-333-4198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | PA9102542
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9102542
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number | ME97569
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME97569
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME56376
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9102542
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6672
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License Number State | FL
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