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General NPI Number Information
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NPI Number | 1902124399
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Entity Type | Organization
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Legal Business Name | URMOS CHIROPRACTIC HEALTH CENTER PA
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 10/12/2010
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Provider Practice Location Address
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Address Line | 2870 GULF BREEZE PKWY
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City | GULF BREEZE
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State | FL
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Zip | 32563-3146
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Country | US
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Telephone | 850-932-3565
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Fax | 850-932-3566
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Provider Business Mailing Address
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Address Line | PO BOX 5757
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City | NAVARRE
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State | FL
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Zip | 32566-0757
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Country | US
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Telephone | 850-932-3565
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Fax | 850-932-3566
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Authorized Official
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Title or Position | DOCTOR / OWNER
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Name | DR. CYNTHIA E URMOS
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Credential | BS, DC, CCSP
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Telephone | 850-932-3565
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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 | CH6535
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License Number State | FL
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