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General NPI Number Information
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NPI Number | 1992458699
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA SPINE AND CHIROPRACTIC CENTERS, LLC
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 3111 N UNIVERSITY DR STE 402
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5033
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Country | US
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Telephone | 954-913-4496
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Fax | 954-769-1970
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Provider Business Mailing Address
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Address Line | 8958 W. STATE ROAD 84 PMB #179
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City | DAVIE
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-913-4496
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Fax | 954-769-1970
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. GREGG L. WESSLER
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Credential | DC
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Telephone | 954-913-4496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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