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General NPI Number Information
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NPI Number | 1114230752
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Entity Type | Organization
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Legal Business Name | ESTUDIOS QUIROPRACTICOS CPS
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 384 AVE DOMENECH
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City | SAN JUAN
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State | PR
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Zip | 00918-3719
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Country | US
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Telephone | 787-200-8650
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Fax | 787-200-9650
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Provider Business Mailing Address
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Address Line | VILLAS DE PLAYA I M 8
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City | DORADO
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State | PR
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Zip | 00646-0000
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Country | US
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Telephone | 407-583-7130
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Fax | 787-761-0611
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VASCO A RODRIGUEZ
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Credential | DC
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Telephone | 407-583-7130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | PR
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