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General NPI Number Information
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NPI Number | 1841915071
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Entity Type | Individual
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Provider Name | ANA CRISTINA CRUZ DC
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Gender | Female
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 3990 E SR 44
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City | WILDWOOD
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State | FL
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Zip | 34785-7482
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Country | US
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Telephone | 352-775-4221
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Fax | 352-661-3526
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Provider Business Mailing Address
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Address Line | 3700 WINDMEADOWS BLVD APT Q158
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City | GAINESVILLE
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State | FL
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Zip | 32608-0410
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Country | US
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Telephone | 939-332-6360
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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 | CH14245
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License Number State | FL
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