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General NPI Number Information
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NPI Number | 1942010137
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Entity Type | Organization
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Legal Business Name | VERO BEACH BRAIN AND SPINE LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1575 INDIAN RIVER BLVD STE C210
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City | VERO BEACH
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State | FL
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Zip | 32960-7127
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Country | US
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Telephone | 772-217-5457
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 HIDDEN PEARL PL
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City | VERO BEACH
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State | FL
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Zip | 32963-3182
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Country | US
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Telephone | 772-321-8122
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NICHOLAS G SNYDER
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Credential | DC, DIBCN
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Telephone | 772-321-8122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number |
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License Number State |
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