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General NPI Number Information
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NPI Number | 1942856190
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Entity Type | Organization
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Legal Business Name | SIPE CHIROPRACTIC AND REHABILITATION, LLC
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 1050 NW 15TH ST STE 102A
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City | BOCA RATON
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State | FL
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Zip | 33486-1341
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Country | US
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Telephone | 561-705-1085
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Fax | 561-807-8459
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Provider Business Mailing Address
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Address Line | 1050 NW 15TH ST STE 102A
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City | BOCA RATON
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State | FL
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Zip | 33486-1341
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Country | US
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Telephone | 561-705-1085
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Fax | 561-807-8459
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MATTHEW SIPE
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Credential | DC
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Telephone | 561-705-1085
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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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