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General NPI Number Information
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NPI Number | 1821148057
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Entity Type | Individual
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Provider Name | DAVID GREYDINGER DC
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 5913 S CONGRESS AVE
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City | ATLANTIS
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State | FL
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Zip | 33462-1303
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Country | US
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Telephone | 561-296-5243
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Fax |
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Provider Business Mailing Address
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Address Line | 240 188TH ST
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2436
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH9091
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 009225
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License Number State | NY
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