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General NPI Number Information
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NPI Number | 1053733501
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Entity Type | Organization
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Legal Business Name | URTEAGA CHIROPRACTIC INC.
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 12466 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-1005
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Country | US
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Telephone | 562-274-7771
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Fax | 562-274-7714
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Provider Business Mailing Address
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Address Line | 12466 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-1005
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Country | US
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Telephone | 562-274-7771
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Fax | 562-274-7714
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Authorized Official
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Title or Position | PREISDENT/CEO
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Name | DR. MANUEL URTEAGA
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Credential | DC, MS, RCEP, CME
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Telephone | 562-274-7771
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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 | 31009
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License Number State | CA
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