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General NPI Number Information
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NPI Number | 1558365254
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Entity Type | Individual
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Provider Name | BALDOMERO NUNEZ JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 312 3RD ST
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City | HENDERSON
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State | KY
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Zip | 42420-2906
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Country | US
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Telephone | 270-869-8566
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Fax | 270-869-8568
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Provider Business Mailing Address
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Address Line | PO BOX 272
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City | HENDERSON
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State | KY
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Zip | 42419-0272
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Country | US
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Telephone | 270-869-8566
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Fax | 270-869-8568
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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 | 4022
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08001467A
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License Number State | IN
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