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General NPI Number Information
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NPI Number | 1942639752
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Entity Type | Organization
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Legal Business Name | UPPER CERVICAL INSTITUTE OF FLORIDA, P.A.
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Dates
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Enumeration Date | 11/03/2013
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Last Update Date | 11/03/2013
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Provider Practice Location Address
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Address Line | 7301A W PALMETTO PARK RD SUITE 304B
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City | BOCA RATON
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State | FL
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Zip | 33433-3409
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Country | US
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Telephone | 561-231-0109
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Fax |
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Provider Business Mailing Address
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Address Line | 7301A W PALMETTO PARK RD SUITE 304B
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City | BOCA RATON
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State | FL
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Zip | 33433-3409
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Country | US
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Telephone | 561-231-0109
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY E JEAN-PIERRE
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Credential | D.C.
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Telephone | 786-253-9249
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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 10049
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License Number State | FL
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