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General NPI Number Information
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NPI Number | 1992203509
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Entity Type | Individual
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Provider Name | OSCAR D. NIEVES AVILES DC
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Gender | Male
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | CARR #2 KM 123.3 EDIF. 7 SEAS LOCAL #2
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 239-600-0443
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Fax |
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Provider Business Mailing Address
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Address Line | 37 CALLE PEDRO PEREZ
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City | MOCA
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State | PR
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Zip | 00676-4516
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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 | CH12228
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 000947
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License Number State | PR
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