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General NPI Number Information
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NPI Number | 1699700906
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Entity Type | Individual
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Provider Name | JOCELYN VIANNEY MIRANDA DC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 107 GONZALEZ GUISTI AVE SUITE 304 CAPARRA GALLERY BLDG
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-619-2700
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Fax | 787-998-2830
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Provider Business Mailing Address
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Address Line | 17 SAN JOSE APTO 306 FONTAINEBLUE VILLAGE
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-619-2700
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Fax | 787-998-2830
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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 | 337
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License Number State | PR
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