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General NPI Number Information
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NPI Number | 1033846951
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Entity Type | Individual
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Provider Name | JOSE GARCIA LOYOLA DC
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Gender | Male
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 3008 S CHURCH ST STE A
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City | BURLINGTON
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State | NC
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Zip | 27215-5686
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Country | US
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Telephone | 336-584-9932
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Fax | 336-545-0571
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Provider Business Mailing Address
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Address Line | 2006 NEW GARDEN RD STE 204
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City | GREENSBORO
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State | NC
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Zip | 27410-2568
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Country | US
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Telephone | 336-545-3132
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Fax | 336-545-0571
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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 | 5523
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License Number State | NC
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