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General NPI Number Information
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NPI Number | 1902088818
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Entity Type | Organization
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Legal Business Name | ATLANTIC AVENUE CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 110 E ATLANTIC AVE SUITE 300
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City | DELRAY BEACH
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State | FL
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Zip | 33444-3746
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Country | US
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Telephone | 561-278-8382
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Fax | 561-278-8856
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Provider Business Mailing Address
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Address Line | 110 E ATLANTIC AVE SUITE 300
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City | DELRAY BEACH
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State | FL
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Zip | 33444-3746
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Country | US
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Telephone | 561-278-8382
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Fax | 561-278-8856
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Authorized Official
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Title or Position | CORPORATE PRESIDENT
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Name | DR. TANYA MARIA HLINKA
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Credential | DC
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Telephone | 561-278-8382
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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 | CH0007130
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License Number State | FL
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