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General NPI Number Information
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NPI Number | 1912640186
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Entity Type | Organization
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Legal Business Name | M&C CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 7000 W PALMETTO PARK RD STE 201
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City | BOCA RATON
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State | FL
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Zip | 33433-3430
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Country | US
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Telephone | 754-610-0853
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 W PALMETTO PARK RD STE 201
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City | BOCA RATON
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State | FL
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Zip | 33433-3430
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Country | US
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Telephone | 754-610-0853
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. HESTON EDUARDO MOY
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Credential | DC
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Telephone | 754-610-0853
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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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