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General NPI Number Information
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NPI Number | 1912843368
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Entity Type | Organization
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Legal Business Name | M CHIROPRACTIC AND WELLNESS L L C
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 499 E CENTRAL PKWY STE 245
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-3401
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Country | US
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Telephone | 786-457-7577
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Fax |
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Provider Business Mailing Address
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Address Line | 1667 KINGSTON RD
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City | LONGWOOD
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State | FL
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Zip | 32750-6219
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Country | US
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Telephone | 786-457-7577
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. YASER MUSSA JIMENEZ
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Credential | DC
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Telephone | 786-457-7577
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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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