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General NPI Number Information
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NPI Number | 1497895999
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Entity Type | Individual
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Provider Name | GLORIMAR SERRANO-ROSARIO D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | CONDOMINIO GARDEN CENTER UNIVERSITY GARDENS LOCAL C-5
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-792-2254
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Fax | 787-792-1795
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Provider Business Mailing Address
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Address Line | COND MIRAMAR PLZ 15-D
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City | SAN JUAN
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State | PR
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Zip | 00907-3646
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Country | US
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Telephone | 787-792-2254
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Fax | 787-792-1795
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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 | 341
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License Number State | PR
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