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General NPI Number Information
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NPI Number | 1447073960
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Entity Type | Organization
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Legal Business Name | MASTERPIECE CHIROPRACTIC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | CARR. 315 BO. SABANA YEGUAS DE LAJAS, CENTRO COMERCIAL MUNICIPAL, EDF 2 LOCAL 4
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-237-3098
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Fax |
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Provider Business Mailing Address
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Address Line | RR 1 BOX 2110
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City | ANASCO
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State | PR
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Zip | 00610-9664
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Country | US
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Telephone | 787-237-3098
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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. JENIFFER M VEGA GONZALEZ
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Credential | DC
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Telephone | 787-237-3098
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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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