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General NPI Number Information
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NPI Number | 1316284391
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Entity Type | Organization
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Legal Business Name | ARAYA FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 39 TALCOTT RD
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City | WEST HARTFORD
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State | CT
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Zip | 06110-1227
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Country | US
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Telephone | 860-561-5433
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Fax | 860-561-2754
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Provider Business Mailing Address
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Address Line | 39 TALCOTT RD
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City | WEST HARTFORD
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State | CT
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Zip | 06110-1227
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Country | US
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Telephone | 860-561-5433
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Fax | 860-561-2754
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Authorized Official
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Title or Position | OWNER/DC
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Name | DR. JOHN R ARAYA
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Credential | DC
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Telephone | 860-561-5433
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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 | 1377
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License Number State | CT
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