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General NPI Number Information
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NPI Number | 1891004628
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Entity Type | Organization
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Legal Business Name | FLORIDA ACCIDENT & INJURY, INC
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 1811 SHORE DR S
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4701
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Country | US
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Telephone | 727-345-5900
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Fax | 727-290-9803
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Provider Business Mailing Address
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Address Line | 1811 SHORE DR S
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4701
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Country | US
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Telephone | 727-345-5900
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Fax | 727-290-9803
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS J HYNDS JR.
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Credential | D.C.
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Telephone | 941-586-9123
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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 8307
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 59641
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License Number State | FL
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