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General NPI Number Information
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NPI Number | 1952484966
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Entity Type | Organization
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Legal Business Name | EASTSIDE CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 8228 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33138-4124
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Country | US
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Telephone | 305-403-2595
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Fax | 305-759-0759
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Provider Business Mailing Address
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Address Line | 8228 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33138-4124
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Country | US
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Telephone | 305-403-2595
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Fax | 305-759-0759
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. DAMIAN MARTINEZ
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Credential | D.C.
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Telephone | 305-388-7577
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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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