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General NPI Number Information
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NPI Number | 1922806819
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Entity Type | Organization
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Legal Business Name | EASY REACH PAIN & INTEGRATED WELLNESS, LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 2001 NW 62ND ST STE 101
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1865
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Country | US
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Telephone | 754-200-4822
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 NW 62ND ST STE 101
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1865
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Country | US
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Telephone | 754-200-4822
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/CEO
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Name | DR. BARBARA ADONIS
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Credential |
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Telephone | 561-530-4602
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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