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General NPI Number Information
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NPI Number | 1821787474
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Entity Type | Individual
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Provider Name | ADRIANO REYES DC
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Gender | Male
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 13807 RED MAPLE WOOD # 201E
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3707
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Country | US
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Telephone | 210-272-7118
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Fax |
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Provider Business Mailing Address
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Address Line | 14811 HUEBNER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78231-1741
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Country | US
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Telephone | 787-463-5283
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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 | 15118
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License Number State | TX
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