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General NPI Number Information
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NPI Number | 1841456944
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Entity Type | Individual
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Provider Name | ROBERT FAY CONINE D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 409 W BLOOMINGDALE AVE
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City | BRANDON
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State | FL
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Zip | 33511-7401
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Country | US
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Telephone | 813-689-1883
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Fax | 813-684-9145
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Provider Business Mailing Address
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Address Line | 10117 PALERMO CIR #304
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City | TAMPA
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State | FL
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Zip | 33619-5022
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Country | US
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Telephone | 813-751-4421
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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 | CH 9528
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License Number State | FL
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