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General NPI Number Information
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NPI Number | 1942858428
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Entity Type | Organization
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Legal Business Name | UPPER CERVICAL CHIROPRACTIC OF PUERTO RICO
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 254 AVENIDA JESUS T. PINERO LOCAL #3
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-998-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 254 AVENIDA JESUS T. PIERO LOCAL #3
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-998-3303
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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. JENNIFER SOTOMAYOR PABON
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Credential | DC
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Telephone | 787-307-1848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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