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General NPI Number Information
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NPI Number | 1043535131
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Entity Type | Organization
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Legal Business Name | SOLANO CHIROPRACTIC INCORPORATED
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 512 W 17TH ST STE A
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City | SANTA ANA
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State | CA
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Zip | 92706-3678
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Country | US
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Telephone | 714-836-6416
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Fax | 714-836-4589
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Provider Business Mailing Address
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Address Line | 512 W 17TH ST STE A
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City | SANTA ANA
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State | CA
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Zip | 92706-3678
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Country | US
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Telephone | 714-836-6416
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Fax | 714-836-4589
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERNESTO DAVID SOLANO
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Credential | D.C.
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Telephone | 714-836-6416
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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 | DC25806
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License Number State | CA
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