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General NPI Number Information
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NPI Number | 1013031277
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Entity Type | Organization
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Legal Business Name | GERKEN CHIROPRACTIC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 88 E BONITA RD STE E
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City | CHULA VISTA
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State | CA
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Zip | 91910-3057
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Country | US
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Telephone | 619-422-3088
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Fax | 619-422-3988
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Provider Business Mailing Address
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Address Line | 88 E BONITA RD STE E
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City | CHULA VISTA
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State | CA
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Zip | 91910-3057
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Country | US
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Telephone | 619-422-3088
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Fax | 619-422-3988
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD GARY GERKEN
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Credential | D.C.
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Telephone | 619-422-3088
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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 | 024133
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License Number State | CA
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