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General NPI Number Information
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NPI Number | 1962617928
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Entity Type | Organization
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Legal Business Name | MIAMI BEACH CHIROPRACTIC & REHABILITATION CENTER
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Dates
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Enumeration Date | 05/13/2007
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 1990 SW 27 AVE
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City | MIAMI
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State | FL
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Zip | 33145
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Country | US
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Telephone | 305-445-3130
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Fax | 305-445-5874
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Provider Business Mailing Address
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Address Line | 1990 SW 27 AVE
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City | MIAMI
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State | FL
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Zip | 33145
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Country | US
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Telephone | 305-445-3130
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Fax | 305-445-5874
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDGAR ROMERO
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Credential | DC
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Telephone | 305-445-3130
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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 | 0006566
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6566
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License Number State | FL
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