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General NPI Number Information
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NPI Number | 1821159500
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Entity Type | Individual
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Provider Name | MARIHER MERCEDES SOBRINO DC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | CALLE ESTEBAN B CRUZ SUITE #79-A
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-866-1777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1777
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City | GUAYAMA
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State | PR
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Zip | 00785-1777
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Country | US
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Telephone | 787-373-5886
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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 | 420
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License Number State | PR
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