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General NPI Number Information
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NPI Number | 1982259842
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC CENTERS OF SOUTH FLORIDA INC.
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 430 S DIXIE HWY STE 211
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City | CORAL GABLES
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State | FL
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Zip | 33146-2200
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Country | US
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Telephone | 305-546-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 430 S DIXIE HWY STE 211
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City | CORAL GABLES
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State | FL
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Zip | 33146-2200
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Country | US
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Telephone | 305-546-0872
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Fax |
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | VERONICA TROLLERUD
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Credential |
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Telephone | 305-546-0872
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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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