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General NPI Number Information
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NPI Number | 1952818072
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Entity Type | Organization
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Legal Business Name | KAIROS CORP
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | LOS FRAILES CALLE D Y E SUITE 205 CARIBBEAN CINEMAS BLDG
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City | GUAYNABO
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State | PR
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Zip | 00970
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Country | US
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Telephone | 787-790-7855
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2136
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City | GUAYNABO
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State | PR
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Zip | 00970-2136
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Country | US
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Telephone | 787-790-7855
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Fax | 787-709-4751
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. EDWIN CARRILLO-SANCHEZ
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Credential | DC
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Telephone | 787-790-7855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 513
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License Number State | PR
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