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General NPI Number Information
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NPI Number | 1588526412
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Entity Type | Organization
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Legal Business Name | CORTES CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 166 AUTUMN RIDGE TRL APT 166
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City | ROSWELL
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State | GA
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Zip | 30076-4415
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Country | US
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Telephone | 787-525-8307
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Fax |
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Provider Business Mailing Address
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Address Line | 166 AUTUMN RIDGE TRL APT 166
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City | ROSWELL
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State | GA
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Zip | 30076-4415
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Country | US
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Telephone | 787-525-8307
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC
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Name | BARBARA BETANCOURT
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Credential | DC
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Telephone | 787-619-8809
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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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