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General NPI Number Information
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NPI Number | 1780454041
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Entity Type | Individual
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Provider Name | ALEJANDRA LUCIA SUAREZ DC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 10420 PARK RD STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28210-8418
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Country | US
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Telephone | 980-228-9112
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Fax |
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Provider Business Mailing Address
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Address Line | 9419 LUCY JANE LN APT 220
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City | CHARLOTTE
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State | NC
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Zip | 28270-2579
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Country | US
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Telephone |
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Fax |
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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 | 5691
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License Number State | NC
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