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General NPI Number Information
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NPI Number | 1639107782
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC OFFICE OF ALINA RODRIGUEZ-CORREA
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 850 N MAIN STREET EXT BUILDING #2,SUITE 3A
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City | WALLINGFORD
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State | CT
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Zip | 06492-2400
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Country | US
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Telephone | 203-627-1828
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Fax | 203-271-3814
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Provider Business Mailing Address
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Address Line | 850 N MAIN STREET EXT BUILDING #2,SUITE 3A
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City | WALLINGFORD
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State | CT
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Zip | 06492-2400
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Country | US
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Telephone | 203-627-1828
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Fax | 203-271-3814
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ALINA RODRIGUEZ-CORREA
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Credential | DC
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Telephone | 203-627-1828
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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 | 000902
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License Number State | CT
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