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Individual
MR. MATTHEW PETER CARRERA
Active
Individual
MR. MATTHEW PETER CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00517
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29757-4
BCBS OF RI
RI
01
—
412499
BLUE CHIP
RI
Enumeration date
01/16/2007
Last updated
07/08/2007
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