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NPI 1609720531

NPI 1609720531 : ER CHIROPRACTIC LLC DBA RIVERA CHIROPRACTIC : DALTON, GA

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General NPI Number Information
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    NPI Number           |    1609720531
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    Entity Type          |    Organization 
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    Legal Business Name  |    ER CHIROPRACTIC LLC DBA RIVERA CHIROPRACTIC 
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Dates
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    Enumeration Date     |    02/26/2026
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    Last Update Date     |    02/26/2026
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Provider Practice Location Address
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    Address Line         |    715 S THORNTON AVE 
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    City                 |    DALTON
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    State                |    GA
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    Zip                  |    30720-8213
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    Country              |    US
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    Telephone            |    706-609-0023
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    Fax                  |    706-609-0039
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Provider Business Mailing Address
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    Address Line         |    715 S THORNTON AVE 
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    City                 |    DALTON
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    State                |    GA
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    Zip                  |    30720-8213
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    Country              |    US
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    Telephone            |    706-609-0023
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    Fax                  |    706-609-0039
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Authorized Official
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    Title or Position    |    CHIROPRACTOR
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    Name                 |     ERIC  RIVERA-CRUZ 
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    Credential           |    DC
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    Telephone            |    706-609-0023
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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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