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General NPI Number Information
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NPI Number | 1174376107
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Entity Type | Individual
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Provider Name | YAIDI MARIE FLORES RIVERA DC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | HC 72 BOX 4010
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City | NARANJITO
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State | PR
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Zip | 00719-8780
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Country | US
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Telephone | 787-234-0063
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Fax |
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Provider Business Mailing Address
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Address Line | 17 HACIENDA CERRO GORDO
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City | SAN LORENZO
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State | PR
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Zip | 00754-4542
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Country | US
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Telephone | 787-371-8482
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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 | 969
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License Number State | PR
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