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General NPI Number Information
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NPI Number | 1952840498
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Entity Type | Organization
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Legal Business Name | VITA CHIROPRACTIC CLINIC, LLC
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 7850 ULMERTON RD 1-B
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City | LARGO
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State | FL
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Zip | 33771-4064
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Country | US
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Telephone | 727-242-2935
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Fax | 727-666-7689
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Provider Business Mailing Address
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Address Line | 7850 ULMERTON RD 1-B
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City | LARGO
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State | FL
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Zip | 33771-4064
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Country | US
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Telephone | 727-242-2935
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Fax | 727-666-7689
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMI AMIN
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Credential | D.C
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Telephone | 727-242-2935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH11333
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License Number State | FL
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