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General NPI Number Information
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NPI Number | 1376711903
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Entity Type | Organization
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Legal Business Name | JULIO CARDONA JR., P.C.
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 14335 SW ALLEN BLVD SUITE 102
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City | BEAVERTON
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State | OR
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Zip | 97005-4463
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Country | US
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Telephone | 503-352-0265
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Fax | 503-601-0543
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Provider Business Mailing Address
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Address Line | 14335 SW ALLEN BLVD SUITE 102
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City | BEAVERTON
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State | OR
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Zip | 97005-4463
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Country | US
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Telephone | 503-352-0265
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Fax | 503-601-0543
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JULIO CESAR CARDONA JR.
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Credential | D.C.
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Telephone | 760-716-5373
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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 | 713673
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License Number State | OR
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