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General NPI Number Information
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NPI Number | 1598003840
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Entity Type | Organization
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Legal Business Name | CHIRO-MED PSC
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 314 JOSE DE DIEGO AVE.
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 469-450-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 1464 CALLE TOSSA DEL MAR
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City | SAN JUAN
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State | PR
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Zip | 00907-2126
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Country | US
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Telephone | 469-450-2202
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OLGA INES NEGRON-SEIJO
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Credential | DC
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Telephone | 469-450-2202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 621310
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License Number State | PR
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