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General NPI Number Information
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NPI Number | 1841522653
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Entity Type | Individual
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Provider Name | VIVIAN VANESSA PEREZ D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | CARR #2 KM 96 H8 BO. COCOS
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City | QUEBRADILLAS
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State | PR
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Zip | 00678
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Country | US
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Telephone | 787-424-3533
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Fax |
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Provider Business Mailing Address
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Address Line | 41635 SECT EL FOSFORO
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City | QUEBRADILLAS
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State | PR
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Zip | 00678-9421
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Country | US
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Telephone | 787-244-2352
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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 | 488
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License Number State | PR
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