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General NPI Number Information
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NPI Number | 1841461241
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Entity Type | Organization
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Legal Business Name | DYNAMIC CARE, INC.
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 609 MAITLAND AVE SUITE 4
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6840
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Country | US
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Telephone | 407-331-4325
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Fax | 407-260-1619
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Provider Business Mailing Address
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Address Line | 609 MAITLAND AVE SUITE 4
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6840
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Country | US
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Telephone | 407-331-4325
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Fax | 407-260-1619
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAMION S LOPERFITO
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Credential | DC
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Telephone | 407-331-4325
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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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