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General NPI Number Information
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NPI Number | 1265218036
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Entity Type | Organization
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Legal Business Name | ASHFORD CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 29 CALLE WASHINGTON STE 405
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City | SAN JUAN
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State | PR
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Zip | 00907-1521
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Country | US
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Telephone | 939-245-2652
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Fax |
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Provider Business Mailing Address
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Address Line | 29 CALLE WASHINGTON STE 405
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City | SAN JUAN
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State | PR
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Zip | 00907-1521
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Country | US
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Telephone | 939-245-2652
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CASEY ANN CABALLERO TORRES
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Credential | DC
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Telephone | 939-245-2652
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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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