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General NPI Number Information
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NPI Number | 1942432299
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Entity Type | Individual
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Provider Name | MR. JOANES POLYNICE
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Gender | Male
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 1410 N PINE HILLS RD
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City | ORLANDO
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State | FL
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Zip | 32808-4408
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Country | US
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Telephone | 407-652-0000
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Fax | 407-866-0009
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Provider Business Mailing Address
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Address Line | PO BOX 681909
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City | ORLANDO
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State | FL
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Zip | 32868-1909
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Country | US
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Telephone | 407-668-4793
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH 7020
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License Number State | FL
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