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General NPI Number Information
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NPI Number | 1790251890
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTH X3, LLC
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 401 N MILLS AVE STE A
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City | ORLANDO
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State | FL
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Zip | 32803-5735
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Country | US
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Telephone | 407-434-9212
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Fax |
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Provider Business Mailing Address
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Address Line | 1069 S CLARKE ROAD
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City | OCOEE
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State | FL
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Zip | 34761-6995
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Country | US
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Telephone | 407-434-9212
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Fax | 407-434-9912
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. ZOYARA REYES
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Credential | DC
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Telephone | 787-692-4259
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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