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General NPI Number Information
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NPI Number | 1851997415
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Entity Type | Individual
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Provider Name | MEGAN GOMEZ DC
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Gender | Female
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 12484 SW 127TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-6597
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Country | US
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Telephone | 786-701-8353
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Fax |
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Provider Business Mailing Address
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Address Line | 15025 SW 57TH TER
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City | MIAMI
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State | FL
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Zip | 33193-2460
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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 | CH13314
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License Number State | FL
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