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General NPI Number Information
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NPI Number | 1063500890
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Entity Type | Organization
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Legal Business Name | BERINSON CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24578 SUNNYMEAD BLVD SUITE C & D
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City | MORENO VALLEY
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State | CA
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Zip | 92553
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Country | US
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Telephone | 951-924-5770
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Fax | 951-485-8523
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Provider Business Mailing Address
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Address Line | 24578 SUNNYMEAD BLVD SUITE C & D
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City | MORENO VALLEY
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State | CA
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Zip | 92553
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Country | US
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Telephone | 951-924-5770
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Fax | 951-485-8523
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AGNES L BERINSON
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Credential |
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Telephone | 951-924-5770
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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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