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NPI 1710604848

NPI 1710604848 : NU U WEIGHT LOSS CARUSO FAMILY CHIROPRACTIC PC : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1710604848
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    Entity Type          |    Organization 
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    Legal Business Name  |    NU U WEIGHT LOSS CARUSO FAMILY CHIROPRACTIC PC 
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Dates
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    Enumeration Date     |    10/19/2022
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    Last Update Date     |    08/30/2023
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Provider Practice Location Address
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    Address Line         |    3435 CAMINO DEL RIO S STE 208 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92108-3911
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    Country              |    US
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    Telephone            |    619-808-4550
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    Fax                  |    619-329-4390
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Provider Business Mailing Address
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    Address Line         |    3435 CAMINO DEL RIO S STE 208 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92108-3911
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    Country              |    US
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    Telephone            |    619-808-4550
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. ROBERT GERARD CARUSO 
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    Credential           |    DC
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    Telephone            |    619-808-4550
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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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