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NPI 1902367998

NPI 1902367998 : ORLANDO FAMILY CHIROPRACTIC LLC : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1902367998
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORLANDO FAMILY CHIROPRACTIC LLC 
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Dates
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    Enumeration Date     |    03/31/2019
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    Last Update Date     |    03/31/2019
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Provider Practice Location Address
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    Address Line         |    500 N MILLS AVE STE A 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32803-5378
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    Country              |    US
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    Telephone            |    407-479-8359
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    Fax                  |    407-826-1908
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Provider Business Mailing Address
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    Address Line         |    500 N MILLS AVE STE A 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32803-5378
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    Country              |    US
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    Telephone            |    407-479-8359
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    Fax                  |    407-826-1908
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. DARREN  HOLLANDER 
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    Credential           |    DC
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    Telephone            |    407-790-6400
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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       |    
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    License Number State |    
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