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General NPI Number Information
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NPI Number | 1801597950
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Entity Type | Organization
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Legal Business Name | ATLANTIC FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | CARR. 2 KM. 79.7 MARGINAL JARDINES 7B
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-933-3611
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69001 SUITE 391
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-933-3611
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | STEPHANNIE MARIE ROMAN MORENO
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Credential | DC
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Telephone | 787-501-8873
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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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