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General NPI Number Information
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NPI Number | 1801302302
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Entity Type | Organization
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Legal Business Name | HARBOR CHIROPRACTIC AND WELLNESS CENTER
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 4000 N STATE ROAD 7 STE 213
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-4810
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Country | US
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Telephone | 754-701-5616
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 N STATE ROAD 7 STE 213
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-4810
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Country | US
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Telephone | 754-701-5616
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | ORIENTALOS VOLMAR
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Credential | DC
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Telephone | 561-860-5215
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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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