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General NPI Number Information
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NPI Number | 1083518237
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Entity Type | Organization
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Legal Business Name | AJUSTATEPR LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | CARRETERA 116 KM. 27.7
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City | GUANICA
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State | PR
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Zip | 00653
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Country | US
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Telephone | 787-232-5474
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Fax |
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Provider Business Mailing Address
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Address Line | HC 38 BOX 8117
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City | GUANICA
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State | PR
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Zip | 00653-8837
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Country | US
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Telephone | 787-233-5474
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVIDLEE LOPEZ TARDI
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Credential | DC
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Telephone | 787-232-5474
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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 | NULL
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