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Individual
ALFRED BORGES FURTADO
Active
Individual
ALFRED BORGES FURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001647
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0001647CT01
ANTHEM BLUE CROSS
CT
01
—
11513740
CAQH
CT
01
—
691498
ACN
CT
01
—
7165761
AETNA
CT
01
—
CT001647
LANDMARK/HEALTHNET
CT
Enumeration date
07/25/2006
Last updated
07/08/2007
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