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General NPI Number Information
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NPI Number | 1891818266
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Entity Type | Organization
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Legal Business Name | PEMBROKE PINES ACCIDENT & INJURY CENTER, INC.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1633 N HIATUS RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2129
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Country | US
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Telephone | 954-931-2312
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Fax |
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Provider Business Mailing Address
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Address Line | 949 TANGLEWOOD CIR
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City | WESTON
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State | FL
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Zip | 33327-1846
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Country | US
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Telephone | 954-931-2312
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Fax | 954-252-4112
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Authorized Official
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Title or Position | OWNER
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Name | DR. MINDY B SENTER
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Credential | DC
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Telephone | 954-931-2312
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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 | CH8100
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8141
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License Number State | FL
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