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General NPI Number Information
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NPI Number | 1154365385
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Entity Type | Individual
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Provider Name | WALDEMAR LUGO ARVELO DC
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | CARR 183 KM 18.6 BASE 3 LOTE 3 BO. MONTONES
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-733-7430
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Fax | 787-733-2579
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Provider Business Mailing Address
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Address Line | PO BOX 2017 PMB 627
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-2017
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Country | US
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Telephone | 787-733-7430
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Fax | 787-733-2579
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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 | 369
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License Number State | PR
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