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General NPI Number Information
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NPI Number | 1831260660
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Entity Type | Individual
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Provider Name | JUAN CARLOS CONDE D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 401 W ATLANTIC AVE SUITE 14
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City | DELRAY BEACH
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State | FL
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Zip | 33444-3689
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Country | US
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Telephone | 561-330-6096
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Fax | 561-330-6097
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Provider Business Mailing Address
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Address Line | 16279 SIERRA PALMS DR
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6406
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Country | US
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Telephone | 561-498-0147
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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 | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | CH8999
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License Number State | FL
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