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General NPI Number Information
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NPI Number | 1578317665
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Entity Type | Organization
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Legal Business Name | TRINITY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 68 CALLE GEORGETTI S
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City | HUMACAO
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State | PR
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Zip | 00791-4139
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Country | US
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Telephone | 787-477-0477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2017 PMB 502
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-477-0477
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | GENESIS MARIA SANCHEZ-LOPEZ
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Credential | DC
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Telephone | 787-477-0477
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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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