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General NPI Number Information
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NPI Number | 1720773013
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Entity Type | Organization
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Legal Business Name | MOJICA CHIROPRACTIC CARE, LLC
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 1100 TOWN PLAZA CT STE 1040
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-6231
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Country | US
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Telephone | 321-348-8717
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Fax |
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Provider Business Mailing Address
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Address Line | 14051 SOBRADO DR
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City | ORLANDO
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State | FL
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Zip | 32837-4775
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Country | US
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Telephone | 860-877-5678
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LIZ YESENIA MOJICA
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Credential | DC
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Telephone | 860-877-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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