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General NPI Number Information
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NPI Number | 1003272022
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Entity Type | Organization
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Legal Business Name | BATTAGLINO FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 620 PETALUMA BLVD N STE. B
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City | PETALUMA
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State | CA
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Zip | 94952-2869
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Country | US
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Telephone | 707-559-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 620 PETALUMA BLVD N STE. B
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City | PETALUMA
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State | CA
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Zip | 94952-2869
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Country | US
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Telephone | 707-559-4070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN ANTHONY BATTAGLINO
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Credential | D.C.
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Telephone | 707-559-4070
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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 | 29118
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License Number State | CA
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