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General NPI Number Information
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NPI Number | 1114649118
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Entity Type | Organization
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Legal Business Name | QUIROMAX CENTRO QUIROPRACTICO LLC.
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | BO LOMAS LOCAL 3 CARRETERA PR 149 KM. 65.6
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-242-5496
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 7029
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City | VILLALBA
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State | PR
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Zip | 00766-9844
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Country | US
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Telephone | 787-242-5496
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JOSHUA MELENDEZ
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Credential | DC
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Telephone | 787-242-5496
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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 |
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