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General NPI Number Information
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NPI Number | 1447791322
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Entity Type | Organization
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Legal Business Name | NEUROSPINAL HEALTH CENTER
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1400 AVE DE DIEGO ST.130 PARQUE ESCORIAL
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City | CAROLINA
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State | PR
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Zip | 00987-4701
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Country | US
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Telephone | 787-564-4736
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 AVE DE DIEGO STE 130
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City | CAROLINA
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State | PR
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Zip | 00987-4702
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Country | US
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Telephone | 787-564-4736
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC NEUROLOGIST
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Name | VILMARIE SOTO GONZALEZ
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Credential | DC, DACNB
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Telephone | 787-564-4736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0631
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License Number State | PR
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