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General NPI Number Information
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NPI Number | 1043426166
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Entity Type | Organization
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Legal Business Name | PACIFIC EMPIRE CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 4590 RIVERSIDE DR SUITE B
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City | CHINO
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State | CA
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Zip | 91710-3980
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Country | US
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Telephone | 909-464-9880
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Fax | 909-591-4720
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Provider Business Mailing Address
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Address Line | 4590 RIVERSIDE DR SUITE B
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City | CHINO
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State | CA
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Zip | 91710-3980
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Country | US
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Telephone | 909-464-9880
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Fax | 909-591-4720
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY L SANNES
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Credential | DC
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Telephone | 909-464-9880
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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 | DC21111
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License Number State | CA
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