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General NPI Number Information
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NPI Number | 1922303627
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Entity Type | Organization
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Legal Business Name | VERITY HEALTH CENTER
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 6668 THOMASVILLE RD STE 14
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City | TALLAHASSEE
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State | FL
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Zip | 32312-3836
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Country | US
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Telephone | 850-320-6158
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Fax | 850-320-6159
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Provider Business Mailing Address
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Address Line | 6668 THOMASVILLE RD STE 14
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City | TALLAHASSEE
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State | FL
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Zip | 32312-3836
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Country | US
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Telephone | 850-320-6158
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. ISAAC ANTONIO MONTILLA
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Credential | D.C.
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Telephone | 850-320-6158
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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 | CH10164
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License Number State | FL
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