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General NPI Number Information
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NPI Number | 1952734865
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC WELLNESS & REHAB INC
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 7600 S RED RD SUITE 124
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5428
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Country | US
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Telephone | 305-661-5309
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Fax | 305-284-1264
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Provider Business Mailing Address
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Address Line | 7600 S RED RD SUITE 124
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5428
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Country | US
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Telephone | 305-661-5309
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Fax | 305-284-1264
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Authorized Official
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Title or Position | OWNER
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Name | PAUL SHLUGMAN
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Credential |
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Telephone | 305-661-5309
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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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