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General NPI Number Information
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NPI Number | 1144020405
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Entity Type | Individual
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Provider Name | CHRISTIAN M FIGUEROA HIDALGO
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Gender | Male
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1149 STONECREST BLVD STE 106
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City | TEGA CAY
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State | SC
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Zip | 29708-6604
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Country | US
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Telephone | 803-887-0323
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Fax | 803-548-2716
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Provider Business Mailing Address
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Address Line | 251 REDONDO DR
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City | WINGATE
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State | NC
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Zip | 28174-8003
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Country | US
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Telephone | 787-597-1776
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Fax |
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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 | 5164
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License Number State | SC
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