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General NPI Number Information
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NPI Number | 1740214972
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Entity Type | Organization
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Legal Business Name | LOPEZ CHIROPRACTIC CENTER PA
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 3095 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33125-4241
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Country | US
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Telephone | 305-541-4033
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Fax | 305-541-6812
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Provider Business Mailing Address
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Address Line | PO BOX 350725
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City | MIAMI
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State | FL
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Zip | 33135-0725
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Country | US
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Telephone | 305-541-4033
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Fax | 305-541-6812
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. EUNICE LOPEZ PEREZ
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Credential |
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Telephone | 305-541-4033
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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 | CH0003504
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License Number State | FL
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