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General NPI Number Information
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NPI Number | 1982579702
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Entity Type | Individual
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Provider Name | JANN CARLOS CLASS MALDONADO DC
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Gender | Male
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 408 PASEO TRIO VEGABAJENO
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City | VEGA BAJA
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State | PR
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Zip | 00693-5830
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Country | US
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Telephone | 787-325-0565
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CALLE MARLIN AZUL
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City | VEGA BAJA
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State | PR
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Zip | 00693-3560
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Country | US
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Telephone |
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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 | 1080
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License Number State | PR
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