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General NPI Number Information
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NPI Number | 1851036198
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Entity Type | Organization
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Legal Business Name | KAIZEN CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | CARR 159 KM 16.7 #A4 BARRIO MAVILLAS
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-451-2044
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 8825
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City | COROZAL
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State | PR
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Zip | 00783-6122
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Country | US
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Telephone | 787-613-0424
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ASHLEY MORALES RIVERA
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Credential | DC
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Telephone | 787-613-0424
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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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