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General NPI Number Information
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NPI Number | 1881484343
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Entity Type | Individual
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Provider Name | CESAR B CARVAJAL
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Gender | Male
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 525 EASTERN AVE
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City | FAIRMOUNT HEIGHTS
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State | MD
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Zip | 20743-1677
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Country | US
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Telephone | 301-925-2013
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Fax | 301-925-4367
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Provider Business Mailing Address
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Address Line | 909 LEWIS AVE
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City | ROCKVILLE
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State | MD
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Zip | 20851-1624
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Country | US
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Telephone | 240-408-6984
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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 | S04247
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License Number State | MD
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