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General NPI Number Information
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NPI Number | 1821148115
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Entity Type | Organization
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Legal Business Name | DR. LEE TRACHTENBERG D.C., P.A.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 7420 NW 5TH ST SUITE 107
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City | PLANTATION
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State | FL
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Zip | 33317-1611
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Country | US
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Telephone | 954-792-3343
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Fax | 954-792-3342
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Provider Business Mailing Address
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Address Line | 9877 FAIRWAY COVE LN
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City | PLANTATION
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State | FL
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Zip | 33324-2823
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Country | US
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Telephone | 954-423-9072
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Fax | 954-475-9396
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD LEE TRACHTENBERG
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Credential | D.C.
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Telephone | 954-792-3343
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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 | CH 6279
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License Number State | FL
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