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General NPI Number Information
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NPI Number | 1366826307
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Entity Type | Organization
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Legal Business Name | CANDLEWOOD MASSAGE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 07/18/2015
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Provider Practice Location Address
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Address Line | 15679 SAN PEDRO AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78232-3732
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Country | US
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Telephone | 210-446-5775
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Fax | 210-970-7335
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Provider Business Mailing Address
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Address Line | 15679 SAN PEDRO AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78232-3732
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Country | US
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Telephone | 210-446-5775
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Fax | 210-970-7335
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ROJELIO SOLANO
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Credential | DC
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Telephone | 210-260-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 11259
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License Number State | TX
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