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General NPI Number Information
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NPI Number | 1407557150
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Entity Type | Organization
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Legal Business Name | DREAM TEAM CHIROPRACTIC CAROLINA LLC
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Dates
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Enumeration Date | 03/10/2023
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 10000 65 DE INFANTERIA EDIF MEDICO LOCAL 310
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-519-9945
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 52177
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City | TOA BAJA
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State | PR
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Zip | 00950-2177
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Country | US
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Telephone | 787-519-9945
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMANDA NUNEZ
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Credential | DC
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Telephone | 787-921-8600
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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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