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General NPI Number Information
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NPI Number | 1942474226
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Entity Type | Organization
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Legal Business Name | MANUEL CARRIL DC PA
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 8726 NW 26TH ST SUITE 16
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City | DORAL
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State | FL
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Zip | 33172-1627
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Country | US
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Telephone | 305-477-7976
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Fax |
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Provider Business Mailing Address
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Address Line | 8726 NW 26TH ST SUITE 16
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City | DORAL
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State | FL
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Zip | 33172-1627
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Country | US
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Telephone | 305-477-7976
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MANUEL CARRIL
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Credential | DC
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Telephone | 305-477-7976
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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 | CH6221
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License Number State | FL
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