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General NPI Number Information
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NPI Number | 1962799213
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Entity Type | Organization
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Legal Business Name | PGA CHIROPRACTIC HEALTH CENTER PA
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 10800 N MILITARY TRL STE # 111
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6500
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Country | US
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Telephone | 561-775-9111
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Fax | 561-775-9131
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Provider Business Mailing Address
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Address Line | 10800 N MILITARY TRL STE # 111
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6500
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Country | US
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Telephone | 561-775-9111
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Fax | 561-775-9131
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. JAMES PAUL CIMA
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Credential | DC
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Telephone | 561-775-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number |
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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 | CH11037
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License Number State | FL
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