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General NPI Number Information
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NPI Number | 1912655465
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Entity Type | Organization
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Legal Business Name | SPINE HEALTH LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | AVE. CASA LINDA #1, CARR. 177 LOS FILTROS KM 2.0 SUITE 101
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City | GUAYNABO
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-399-9092
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Fax |
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Provider Business Mailing Address
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Address Line | B15 CALLE 4
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City | GUAYNABO
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State | PR
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Zip | 00969-5431
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Country | US
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Telephone | 787-399-9092
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALEX JOEL ADORNO BRUNO
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Credential | CHIROPRACTIC
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Telephone | 787-399-9092
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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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