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General NPI Number Information
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NPI Number | 1053597526
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Entity Type | Organization
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Legal Business Name | CRUZ CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 390 E MAIN ST
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City | BURNSVILLE
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State | NC
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Zip | 28714
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Country | US
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Telephone | 828-682-6157
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Fax |
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Provider Business Mailing Address
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Address Line | 390 E MAIN ST
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City | BURNSVILLE
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State | NC
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Zip | 28714-3019
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Country | US
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Telephone | 828-682-6157
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. MIGUEL A CRUZ
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Credential | DC
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Telephone | 828-682-6157
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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 | 1254
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License Number State | NC
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