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General NPI Number Information
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NPI Number | 1467321505
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Entity Type | Organization
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Legal Business Name | ELO WELLNESS LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 110 AVE 21 DE DICIEMBRE SUITE 010
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City | SABANA GRANDE
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State | PR
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Zip | 00637
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Country | US
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Telephone | 787-392-8740
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3534
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City | LAJAS
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State | PR
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Zip | 00667-3534
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Country | US
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Telephone | 787-392-8740
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Fax |
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Authorized Official
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Title or Position | DOCTOR IN CHIROPRACTIC/PRESIDENT
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Name | ESTEFANIA LOPEZ
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Credential | DC
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Telephone | 787-392-8740
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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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