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General NPI Number Information
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NPI Number | 1871983031
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Entity Type | Organization
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Legal Business Name | TRUJILLO CHIROPRACTIC CENTER INC
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 9550 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-2200
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Country | US
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Telephone | 305-408-0303
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Fax | 305-408-0399
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Provider Business Mailing Address
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Address Line | 9550 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-2200
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Country | US
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Telephone | 305-408-0303
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Fax | 305-408-0399
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Authorized Official
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Title or Position | OWNER
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Name | JORGE L TRUJILLO
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Credential | DC
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Telephone | 305-408-0303
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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 | CH7113
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License Number State | FL
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