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General NPI Number Information
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NPI Number | 1023887148
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Entity Type | Organization
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Legal Business Name | INJURY AND SPINECARE CHIROPRACTIC A SUBIA CORP
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Dates
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Enumeration Date | 12/29/2023
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2707 FOOTHILL BLVD
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3514
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Country | US
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Telephone | 818-992-4243
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Fax | 424-476-6939
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Provider Business Mailing Address
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Address Line | 2707 FOOTHILL BLVD
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3514
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Country | US
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Telephone | 818-992-4243
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Fax | 424-476-6939
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY J SUBIA III
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Credential |
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Telephone | 661-428-0526
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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 |
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License Number State |
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