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General NPI Number Information
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NPI Number | 1669330221
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Entity Type | Organization
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Legal Business Name | VITAL MOTION QUIROPRACTIC LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1777 CARR 844
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City | SAN JUAN
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State | PR
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Zip | 00926-4434
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Country | US
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Telephone | 787-415-8010
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Fax |
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Provider Business Mailing Address
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Address Line | BF10 VIA ERIE
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-6046
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Country | US
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Telephone | 787-415-8010
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Fax |
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Authorized Official
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Title or Position | PROPIETARIO
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Name | ERICK CARDONA HERNANDEZ
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Credential |
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Telephone | 787-415-8010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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