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General NPI Number Information
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NPI Number | 1730762436
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Entity Type | Organization
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Legal Business Name | CLINICA QUIROPRACTICA POSTURAS LLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 06/13/2021
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Provider Practice Location Address
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Address Line | AVE. SIMON MADERA PARCELAS FALU #10
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-400-8832
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 14482
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City | CAROLINA
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State | PR
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Zip | 00987-9719
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Country | US
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Telephone | 787-400-3437
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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. MIGUEL ALEXIS CARBONELL
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Credential | DC
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Telephone | 787-400-8832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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