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General NPI Number Information
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NPI Number | 1669085452
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Entity Type | Individual
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Provider Name | DAYANA PAOLA BUCARELLO MONTOYA DC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 10700 ANDERSON MILL RD STE 220
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City | AUSTIN
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State | TX
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Zip | 78750-2402
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Country | US
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Telephone | 512-335-8700
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Fax | 512-335-8702
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Provider Business Mailing Address
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Address Line | 1704 EAGLES WAY
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City | LEANDER
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State | TX
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Zip | 78641-8810
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Country | US
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Telephone | 512-934-1703
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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 | 14465
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License Number State | TX
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