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General NPI Number Information
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NPI Number | 1477272813
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Entity Type | Individual
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Provider Name | JULIE MARIE NAZARIO-BORGES DC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 19 CALLE DEGETAU
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City | JUANA DIAZ
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State | PR
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Zip | 00795-1631
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Country | US
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Telephone | 787-903-2529
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CARIBE
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City | COAMO
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State | PR
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Zip | 00769
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Country | UM
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 876
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License Number State | PR
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