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General NPI Number Information
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NPI Number | 1982838272
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Entity Type | Organization
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Legal Business Name | HEALTH CONCEPT WELLNESS CHIROPRACTIC CARE CENTER
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1250 PINE SAGE CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-7062
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Country | US
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Telephone | 561-294-4917
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Fax | 561-683-5855
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Provider Business Mailing Address
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Address Line | 1250 PINE SAGE CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-7062
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Country | US
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Telephone | 561-294-4917
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Fax | 561-683-5855
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. ROBERT M LIEBERMAN
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Credential | DC
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Telephone | 561-294-4917
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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 | CH7077
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License Number State | FL
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