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General NPI Number Information
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NPI Number | 1861126724
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Entity Type | Individual
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Provider Name | HIRAM BJ RIVERA SANCHEZ DC
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Gender | Male
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 50 S PICKETT ST STE 201
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City | ALEXANDRIA
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State | VA
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Zip | 22304-7208
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Country | US
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Telephone | 703-678-9726
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Fax |
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Provider Business Mailing Address
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Address Line | 4847 W BRADDOCK RD APT 101
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City | ALEXANDRIA
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State | VA
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Zip | 22311-4851
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Country | US
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Telephone | 787-346-2022
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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 | 0104557797
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License Number State | VA
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