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General NPI Number Information
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NPI Number | 1295416477
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Entity Type | Organization
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Legal Business Name | PRANA CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | CARRETERA #2 KM 16.17 BO. CANDELARIA
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 18 PRADERA EST DE LA FUENTE
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-922-1962
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALERIA NICOLE OJEDA IRIZARRY
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Credential | DC
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Telephone | 787-922-1962
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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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