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General NPI Number Information
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NPI Number | 1659749851
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Entity Type | Individual
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Provider Name | RAMON V MIRANDA COLON D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/15/2019
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Provider Practice Location Address
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Address Line | 252 CALLE SAN JOSE STE 2A
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City | VIEJO SAN JUAN
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State | PR
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Zip | 00901
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Country | US
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Telephone | 787-721-8432
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11655
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-721-8432
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 545
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0545
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License Number State | PR
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