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General NPI Number Information
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NPI Number | 1982257085
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Entity Type | Organization
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Legal Business Name | PALADIN CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 11/18/2019
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Provider Practice Location Address
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Address Line | 4063 N GOLDENROD RD STE 1
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City | WINTER PARK
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State | FL
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Zip | 32792-8905
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Country | US
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Telephone | 321-972-2008
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Fax |
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Provider Business Mailing Address
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Address Line | 4063 N GOLDENROD RD STE 1
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City | WINTER PARK
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State | FL
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Zip | 32792-8905
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Country | US
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Telephone | 321-972-2008
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRANDON ORSINO
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Credential | DC
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Telephone | 321-298-4996
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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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