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General NPI Number Information
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NPI Number | 1508909649
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Entity Type | Individual
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Provider Name | MELVIN RUIZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 19 MARIA CADILLA ST.
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City | ARECIBO
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State | PR
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Zip | 00613
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Country | US
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Telephone | 787-878-4408
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Fax | 787-278-3673
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Provider Business Mailing Address
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Address Line | NN8 CALLE CANGREJO DORADO DEL MAR
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City | DORADO
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State | PR
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Zip | 00646-2326
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Country | US
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Telephone | 787-278-3673
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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 | 000245
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License Number State | PR
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