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General NPI Number Information
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NPI Number | 1316838600
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Entity Type | Organization
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Legal Business Name | LOTUS CHIROPRACTIC AND ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 13939 WHITNEY RD
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City | HOLLAND
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State | NY
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Zip | 14080-9792
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Country | US
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Telephone | 716-217-0105
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Fax | 716-324-3453
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Provider Business Mailing Address
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Address Line | 13939 WHITNEY RD
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City | HOLLAND
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State | NY
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Zip | 14080-9792
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Country | US
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Telephone | 716-217-0105
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Fax | 716-324-3453
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. RAFAEL ERNESTO ROMAN PEREZ
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Credential | DC
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Telephone | 716-217-0105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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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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