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General NPI Number Information
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NPI Number | 1619780988
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Entity Type | Organization
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Legal Business Name | BACK2HEALTHDOC LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 48 CALLE BETANCES
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City | CAGUAS
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State | PR
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Zip | 00725-3573
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Country | US
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Telephone | 787-367-6525
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Fax |
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Provider Business Mailing Address
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Address Line | 414 CALLE DUAY
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City | SAN JUAN
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State | PR
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Zip | 00920-3714
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Country | US
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Telephone | 787-367-6525
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. HECTOR J. TORRES PASSALACQUA
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Credential | DC
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Telephone | 787-367-6525
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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 |
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License Number State |
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