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General NPI Number Information
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NPI Number | 1679209415
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Entity Type | Organization
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Legal Business Name | ACUPRACTICO LLC
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | CALLE NUBE C10 URB BELLA VISTA
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 787-239-9987
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Fax |
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Provider Business Mailing Address
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Address Line | LA RAMBLA 911 CALLE ZARAGOZA
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City | PONCE
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State | PR
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Zip | 00730-4022
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUAN ESTEBAN LUGO RODRIGUEZ
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Credential | DC, L.AC,MSAOM
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Telephone | 787-400-1081
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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 |
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License Number State |
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