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General NPI Number Information
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NPI Number | 1972535672
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Entity Type | Individual
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Provider Name | MIA DUKOFSKY D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 6030 HOLLYWOOD BLVD STE 250
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City | HOLLYWOOD
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State | FL
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Zip | 33024-7972
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Country | US
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Telephone | 954-908-6662
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Fax |
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Provider Business Mailing Address
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Address Line | 520 NE 20TH ST APT 206
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City | WILTON MANORS
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State | FL
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Zip | 33305-2104
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Country | US
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Telephone | 631-897-5246
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | X009134
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License Number State | NY
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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 | CH13886
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License Number State | FL
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