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General NPI Number Information
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NPI Number | 1356168702
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Entity Type | Organization
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Legal Business Name | TU CLINICA QUIROPRACTICA DRA. YADIRA SANTIAGO LLC
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 315 AVE. ING. MANUEL DOMENECH STE 4
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 939-649-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 315 AVE. ING. DOMENECH STE. 4
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City | SAN JUAN
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State | PR
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Zip | 00918-1328
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Country | US
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Telephone | 939-649-2520
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. YADIRA SANTIAGO
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Credential | DC
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Telephone | 864-308-6873
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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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